Healthcare Provider Details

I. General information

NPI: 1609834985
Provider Name (Legal Business Name): VALLEY COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2707 L ST
ORD NE
68862-1275
US

IV. Provider business mailing address

2707 L ST
ORD NE
68862-1275
US

V. Phone/Fax

Practice location:
  • Phone: 308-728-4200
  • Fax: 308-728-7809
Mailing address:
  • Phone: 308-728-4200
  • Fax: 308-728-7809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC0050X
TaxonomyCritical Access Hospital Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number780001
License Number StateNE

VIII. Authorized Official

Name: MS. ASHLEY M. WOODWARD
Title or Position: CEO
Credential:
Phone: 308-728-4351