Healthcare Provider Details

I. General information

NPI: 1689891087
Provider Name (Legal Business Name): MORRILL COUNTY COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 10/11/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 MAIN STREET
BAYARD NE
69334-1500
US

IV. Provider business mailing address

PO BOX H
BAYARD NE
69334-0682
US

V. Phone/Fax

Practice location:
  • Phone: 308-586-1717
  • Fax: 308-586-1263
Mailing address:
  • Phone: 308-586-1717
  • Fax: 308-586-1263

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. ROBIN L. STUART
Title or Position: CEO
Credential:
Phone: 308-262-1616