Healthcare Provider Details

I. General information

NPI: 1518918408
Provider Name (Legal Business Name): CRETE AREA MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2910 BETTEN DR
CRETE NE
68333-3084
US

IV. Provider business mailing address

PO BOX 860873
MINNEAPOLIS MN
55486-0873
US

V. Phone/Fax

Practice location:
  • Phone: 402-826-2102
  • Fax: 402-826-7950
Mailing address:
  • Phone: 402-826-2102
  • Fax: 402-826-7950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number670001
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number670001
License Number StateNE

VIII. Authorized Official

Name: JULIE LACY
Title or Position: PRESIDENT & CEO
Credential:
Phone: 402-826-2102