Healthcare Provider Details

I. General information

NPI: 1447224993
Provider Name (Legal Business Name): JOSH HILL CRNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 PRAIRIE RIDGE RD
MC COOK NE
69001-4313
US

IV. Provider business mailing address

316 RENEE RD
DONIPHAN NE
68832-9797
US

V. Phone/Fax

Practice location:
  • Phone: 308-340-8292
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number100930
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: