Healthcare Provider Details

I. General information

NPI: 1831188705
Provider Name (Legal Business Name): SAUNDERS MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 02/04/2020
Certification Date: 02/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 COUNTY ROAD J
WAHOO NE
68066-4152
US

IV. Provider business mailing address

1760 COUNTY ROAD J
WAHOO NE
68066-4152
US

V. Phone/Fax

Practice location:
  • Phone: 402-443-4191
  • Fax: 402-443-1433
Mailing address:
  • Phone: 402-443-4191
  • Fax: 402-443-1433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberH000108
License Number StateNE

VIII. Authorized Official

Name: JULIE REZAC
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 402-443-4191