Healthcare Provider Details

I. General information

NPI: 1821001405
Provider Name (Legal Business Name): JOHNSON COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2006
Last Update Date: 11/08/2022
Certification Date: 11/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 HIGH ST
TECUMSEH NE
68450-2443
US

IV. Provider business mailing address

PO BOX 599
TECUMSEH NE
68450-0599
US

V. Phone/Fax

Practice location:
  • Phone: 402-335-3361
  • Fax: 402-335-6342
Mailing address:
  • Phone: 404-335-3371
  • Fax: 402-335-3447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number451001
License Number StateNE

VIII. Authorized Official

Name: MARY JANE KENT
Title or Position: CEO
Credential:
Phone: 402-335-3361