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General NPI Number Information
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NPI Number | 1346309929
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Entity Type | Organization
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Legal Business Name | BOX BUTTE GENERAL HOSPITAL
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2101 BOX BUTTE AVE
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City | ALLIANCE
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State | NE
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Zip | 69301-4445
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Country | US
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Telephone | 308-762-6660
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Fax | 308-762-1923
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Provider Business Mailing Address
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Address Line | PO BOX 810
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City | ALLIANCE
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State | NE
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Zip | 69301-0810
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Country | US
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Telephone | 308-762-6660
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Fax | 308-762-1923
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Authorized Official
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Title or Position | CEO
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Name | DANIEL W GRIESS
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Credential |
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Telephone | 308-762-6660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC0050X
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Taxonomy Name | Critical Access Hospital Clinic/Center
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License Number | 040001
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License Number State | NE
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