Healthcare Provider Details

I. General information

NPI: 1033277751
Provider Name (Legal Business Name): CHASE COUNTY COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W 12TH ST
IMPERIAL NE
69033-3131
US

IV. Provider business mailing address

PO BOX 819
IMPERIAL NE
69033-0819
US

V. Phone/Fax

Practice location:
  • Phone: 308-882-7111
  • Fax: 308-882-7317
Mailing address:
  • Phone: 308-882-7111
  • Fax: 308-882-7317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. MELVIN G MCNEA
Title or Position: INTERIM CEO
Credential:
Phone: 308-882-7291