Healthcare Provider Details

I. General information

NPI: 1811079775
Provider Name (Legal Business Name): DUNDY COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 N CHEYENNE ST
BENKELMAN NE
69021-3074
US

IV. Provider business mailing address

PO BOX 626
BENKELMAN NE
69021-0626
US

V. Phone/Fax

Practice location:
  • Phone: 308-423-2204
  • Fax: 308-423-5691
Mailing address:
  • Phone: 308-423-2204
  • Fax: 308-423-5691

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number270001
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number270001
License Number StateNE

VIII. Authorized Official

Name: JEREMIAH W HANES
Title or Position: CEO
Credential:
Phone: 308-423-2204