Healthcare Provider Details

I. General information

NPI: 1033218037
Provider Name (Legal Business Name): CHERRY COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 04/24/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 NORTH GREEN ST
VALENTINE NE
69201-1982
US

IV. Provider business mailing address

510 N GREEN ST
VALENTINE NE
69201-1932
US

V. Phone/Fax

Practice location:
  • Phone: 402-376-3770
  • Fax: 402-376-3779
Mailing address:
  • Phone: 402-376-2525
  • Fax: 402-376-1627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JAMES C BARGEN
Title or Position: CEO
Credential:
Phone: 402-376-2525