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General NPI Number Information
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NPI Number | 1033218037
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Entity Type | Organization
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Legal Business Name | CHERRY COUNTY HOSPITAL
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 512 NORTH GREEN ST
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City | VALENTINE
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State | NE
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Zip | 69201-1982
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Country | US
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Telephone | 402-376-3770
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Fax | 402-376-3779
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Provider Business Mailing Address
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Address Line | 510 N GREEN ST
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City | VALENTINE
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State | NE
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Zip | 69201-1932
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Country | US
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Telephone | 402-376-2525
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Fax | 402-376-1627
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Authorized Official
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Title or Position | CEO
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Name | JAMES C BARGEN
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Credential |
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Telephone | 402-376-2525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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