Healthcare Provider Details

I. General information

NPI: 1821858804
Provider Name (Legal Business Name): WEBSTER COUNTY COMMUNITY HOSPITAL FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2024
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

636 N LOCUST ST
RED CLOUD NE
68970-2463
US

IV. Provider business mailing address

636 N LOCUST ST
RED CLOUD NE
68970-2463
US

V. Phone/Fax

Practice location:
  • Phone: 402-746-2296
  • Fax: 402-746-2325
Mailing address:
  • Phone: 402-746-2296
  • Fax: 402-746-2325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: LAMONT MIKE COOK
Title or Position: CEO
Credential:
Phone: 402-746-5600