MEDICARE: NORTH PLATTE NEBRASKA HOSPITAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207RC0000X	Cardiovascular Disease Physician
3	207RP1001X	Pulmonary Disease Physician
4	207RE0101X	Endocrinology, Diabetes & Metabolism Physician
5	207RH0003X	Hematology & Oncology Physician
6	207RI0011X	Interventional Cardiology Physician
7	2085R0202X	Diagnostic Radiology Physician
8	208600000X	Surgery Physician
9	207X00000X	Orthopaedic Surgery Physician
10	208000000X	Pediatrics Physician
11	2084N0400X	Neurology Physician
12	2084P0800X	Psychiatry Physician
13	363L00000X	Nurse Practitioner
14	207RX0202X	Medical Oncology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	CN8971	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134355332
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH PLATTE NEBRASKA HOSPITAL CORPORATION

Provider Business Mailing Address
First Line	:	601 W LEOTA ST
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-6598
Country	:	US
Telephone Number	:	308-568-7496
Fax Number	:	308-535-3410

Provider Business Practice Location Address
First Line	:	601 W LEOTA ST
Second Line	:
City	:	NORTH PLATTE
State	:	NE
Zip	:	69101-6598
Country	:	US
Telephone Number	:	308-568-7496
Fax Number	:	308-535-3410

Authorized Official
Title or Position	:	CFO
Name	:	SUMMER D OWEN
Credential	:
Telephone Number	:	308-568-7496

Provider Enumeration Date	:	06/03/2009
Last Update Date	:	10/18/2024

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Practice Location Address:

601 W LEOTA ST
NORTH PLATTE, NE
69101-6598

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Practice Location Address:

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1871686519 — MR. CODY J. KIMBERLING PA-C
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Directions to “NORTH PLATTE NEBRASKA HOSPITAL CORPORATION ” Practice Location

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