Healthcare Provider Details

I. General information

NPI: 1497052765
Provider Name (Legal Business Name): HARLAN COUNTY HEALTH SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2011
Last Update Date: 08/23/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

811 HOWELL ST
OXFORD NE
68967-6754
US

IV. Provider business mailing address

PO BOX 836
ALMA NE
68920-0836
US

V. Phone/Fax

Practice location:
  • Phone: 308-824-3288
  • Fax: 308-824-3239
Mailing address:
  • Phone: 308-928-2103
  • Fax: 308-928-2560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. STACY NEUBAUER
Title or Position: CEO
Credential:
Phone: 308-928-2151