Healthcare Provider Details

I. General information

NPI: 1790729101
Provider Name (Legal Business Name): NEMAHA COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 04/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2022 13TH ST
AUBURN NE
68305-1799
US

IV. Provider business mailing address

2022 13TH ST
AUBURN NE
68305-1799
US

V. Phone/Fax

Practice location:
  • Phone: 402-274-4366
  • Fax: 402-274-4399
Mailing address:
  • Phone: 402-274-4366
  • Fax: 402-274-4399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number560001
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number560001
License Number StateNE

VIII. Authorized Official

Name: MR. MARTIN L FATTIG
Title or Position: CEO
Credential:
Phone: 402-274-4366