Healthcare Provider Details

I. General information

NPI: 1669447223
Provider Name (Legal Business Name): KIMBALL COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 02/20/2024
Certification Date: 02/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 W 4TH ST
KIMBALL NE
69145-1706
US

IV. Provider business mailing address

255 W 4TH ST
KIMBALL NE
69145-1706
US

V. Phone/Fax

Practice location:
  • Phone: 308-235-1951
  • Fax: 308-235-1955
Mailing address:
  • Phone: 308-235-1951
  • Fax: 308-235-1955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CASSIE GASSELING
Title or Position: CEO
Credential:
Phone: 308-235-1951