Healthcare Provider Details

I. General information

NPI: 1639101199
Provider Name (Legal Business Name): REGIONAL WEST MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date: 04/11/2012
Reactivation Date: 04/13/2012

III. Provider practice location address

4021 AVENUE B
SCOTTSBLUFF NE
69361-4602
US

IV. Provider business mailing address

4021 AVENUE B
SCOTTSBLUFF NE
69361-4602
US

V. Phone/Fax

Practice location:
  • Phone: 308-630-1111
  • Fax: 308-630-1815
Mailing address:
  • Phone: 308-630-1111
  • Fax: 308-630-1815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number700001
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. NED P RESCH
Title or Position: CEO
Credential:
Phone: 308-635-3711