NPI Code Details Logo

NPI 1396782439

NPI 1396782439 : BUTLER COUNTY HEALTH CARE CENTER : PRAGUE, NE

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1396782439
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    BUTLER COUNTY HEALTH CARE CENTER 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/31/2006
-----------------------------------------------------
    Last Update Date     |    08/22/2020
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    104 N RAILWAY ST 
-----------------------------------------------------
    City                 |    PRAGUE
-----------------------------------------------------
    State                |    NE
-----------------------------------------------------
    Zip                  |    68050
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    402-663-5212
-----------------------------------------------------
    Fax                  |    402-663-5213
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    372 S 9TH ST 
-----------------------------------------------------
    City                 |    DAVID CITY
-----------------------------------------------------
    State                |    NE
-----------------------------------------------------
    Zip                  |    68632-2116
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    402-367-1200
-----------------------------------------------------
    Fax                  |    402-367-1350
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO ADMINISTRATOR
-----------------------------------------------------
    Name                 |    MR. DONALD T NAIBERK 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    402-367-1200
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QR1300X
-----------------------------------------------------
    Taxonomy Name        |    Rural Health Clinic/Center
-----------------------------------------------------
    License Number       |    090001
-----------------------------------------------------
    License Number State |    NE
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.