Healthcare Provider Details

I. General information

NPI: 1689769382
Provider Name (Legal Business Name): FILLMORE COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 02/28/2022
Certification Date: 02/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 F ST
GENEVA NE
68361-2229
US

IV. Provider business mailing address

PO BOX 193
GENEVA NE
68361-0193
US

V. Phone/Fax

Practice location:
  • Phone: 402-759-3167
  • Fax: 402-759-3505
Mailing address:
  • Phone: 402-759-3167
  • Fax: 402-759-3505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER NICHOLS
Title or Position: CEO
Credential:
Phone: 402-759-3167