Healthcare Provider Details

I. General information

NPI: 1265536676
Provider Name (Legal Business Name): GARDEN COUNTY HOSPITAL & NURSING HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 W 2ND ST
OSHKOSH NE
69154-6117
US

IV. Provider business mailing address

1100 W 2ND ST
OSHKOSH NE
69154-6152
US

V. Phone/Fax

Practice location:
  • Phone: 308-772-3283
  • Fax: 308-772-3284
Mailing address:
  • Phone: 308-772-3283
  • Fax: 308-772-3284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: SAMUEL S PENNINGTON
Title or Position: CEO
Credential:
Phone: 308-772-3283