Healthcare Provider Details

I. General information

NPI: 1144329152
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

510 N GREEN ST
VALENTINE NE
69201-1932
US

IV. Provider business mailing address

510 N GREEN ST
VALENTINE NE
69201-1932
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number140001
License Number StateNE

VIII. Authorized Official

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