Healthcare Provider Details

I. General information

NPI: 1215106356
Provider Name (Legal Business Name): REGIONAL WEST MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2008
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

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: 308-630-1469
  • Fax: 308-630-1815
Mailing address:
  • Phone: 308-630-1469
  • Fax: 308-630-1815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number StateNE

VIII. Authorized Official

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