Healthcare Provider Details

I. General information

NPI: 1982704250
Provider Name (Legal Business Name): YORK GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 02/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 N LINCOLN AVE
YORK NE
68467
US

IV. Provider business mailing address

2222 N LINCOLN AVE
YORK NE
68467
US

V. Phone/Fax

Practice location:
  • Phone: 402-362-6671
  • Fax: 402-362-0499
Mailing address:
  • Phone: 402-362-6671
  • Fax: 402-362-0499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number820002
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number820002
License Number StateNE

VIII. Authorized Official

Name: JAMES P ULRICH JR.
Title or Position: CEO
Credential:
Phone: 402-362-0444