Healthcare Provider Details

I. General information

NPI: 1881647915
Provider Name (Legal Business Name): VALLEY COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 S 23RD ST
ORD NE
68862-1619
US

IV. Provider business mailing address

2707 L ST
ORD NE
68862-1275
US

V. Phone/Fax

Practice location:
  • Phone: 308-728-4355
  • Fax: 308-728-3137
Mailing address:
  • Phone: 308-728-4200
  • Fax: 308-728-7809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number781001
License Number StateNE

VIII. Authorized Official

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