Healthcare Provider Details

I. General information

NPI: 1487157459
Provider Name (Legal Business Name): NORTH PLATTE NEBRASKA HOSPITAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2018
Last Update Date: 05/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 MCNEEL LN
NORTH PLATTE NE
69101-6054
US

IV. Provider business mailing address

PO BOX 1167
NORTH PLATTE NE
69103-1167
US

V. Phone/Fax

Practice location:
  • Phone: 308-568-3800
  • Fax:
Mailing address:
  • Phone: 308-568-7496
  • Fax: 308-568-7199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS J LEGEL
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 308-568-7496