Healthcare Provider Details

I. General information

NPI: 1992759781
Provider Name (Legal Business Name): PAWNEE COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 07/24/2024
Certification Date: 07/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 I ST
PAWNEE CITY NE
68420-3001
US

IV. Provider business mailing address

600 I ST
PAWNEE CITY NE
68420-3001
US

V. Phone/Fax

Practice location:
  • Phone: 402-852-2231
  • Fax: 402-852-2098
Mailing address:
  • Phone: 402-852-2231
  • Fax: 402-852-2098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number590001
License Number StateNE

VIII. Authorized Official

Name: JOHN WERNER
Title or Position: ADMINISTRATOR
Credential:
Phone: 402-852-2231