MEDICARE: MORRILL COUNTY COMMUNITY HOSPITAL

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	282NC0060X	Critical Access Hospital	540001	NE
2	275N00000X	Medicare Defined Swing Bed Hospital Unit	540001	NE

General Provider Information

NPI Number	:	1437211596
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MORRILL COUNTY COMMUNITY HOSPITAL

Provider Business Mailing Address
First Line	:	1313 S ST
Second Line	:
City	:	BRIDGEPORT
State	:	NE
Zip	:	69336-2563
Country	:	US
Telephone Number	:	308-262-1616
Fax Number	:	308-262-0843

Provider Business Practice Location Address
First Line	:	1313 S STREET
Second Line	:
City	:	BRIDGEPORT
State	:	NE
Zip	:	69336-2563
Country	:	US
Telephone Number	:	308-262-1616
Fax Number	:	308-262-0843

Authorized Official
Title or Position	:	CEO
Name	:	MS. ROBIN L. STUART
Credential	:
Telephone Number	:	308-262-1616

Provider Enumeration Date	:	12/15/2006
Last Update Date	:	10/11/2014

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Directions to “MORRILL COUNTY COMMUNITY HOSPITAL ” Practice Location

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