Healthcare Provider Details

I. General information

NPI: 1497824171
Provider Name (Legal Business Name): ROCK COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 12/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 E SOUTH ST
BASSETT NE
68714-5512
US

IV. Provider business mailing address

102 E SOUTH ST
BASSETT NE
68714-5512
US

V. Phone/Fax

Practice location:
  • Phone: 402-684-3366
  • Fax: 402-684-3677
Mailing address:
  • Phone: 402-684-3366
  • Fax: 402-684-3677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number830001
License Number StateNE

VIII. Authorized Official

Name: MRS. STACEY ANN KNOX
Title or Position: ADMINISTRATOR
Credential:
Phone: 402-684-3366