Healthcare Provider Details

I. General information

NPI: 1942381017
Provider Name (Legal Business Name): PLAINVIEW PUBLIC HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 02/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W HARPER AVE
PLAINVIEW NE
68769-2037
US

IV. Provider business mailing address

PO BOX 489
PLAINVIEW NE
68769-0489
US

V. Phone/Fax

Practice location:
  • Phone: 402-582-4249
  • Fax: 402-582-4229
Mailing address:
  • Phone: 402-582-4245
  • Fax: 402-582-3940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number621001
License Number StateNE

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier00622
Identifier TypeOTHER
Identifier StateNE
Identifier IssuerHOME HEALTH (BCBS OF NE)
# 2
Identifier08922
Identifier TypeOTHER
Identifier StateNE
Identifier IssuerHHA SUPPLIES (BCBS OF NE)

VIII. Authorized Official

Name: MR. RICHARD B. GAMEL
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 402-582-4245