Healthcare Provider Details

I. General information

NPI: 1376626861
Provider Name (Legal Business Name): PLAINVIEW PUBLIC HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2006
Last Update Date: 07/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

704 N 3RD ST
PLAINVIEW NE
68769-2047
US

IV. Provider business mailing address

PO BOX 489
PLAINVIEW NE
68769-0489
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number620002
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number620002
License Number StateNE

VII. Legacy identifiers

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

# 1
Identifier00272
Identifier TypeOTHER
Identifier StateNE
Identifier IssuerSWING-BED (BCBS OF NE)

VIII. Authorized Official

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