MEDICARE: BUTLER COUNTY HEALTH CARE CENTER

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	363A00000X	Physician Assistant
2	207P00000X	Emergency Medicine Physician
3	213E00000X	Podiatrist
4	231H00000X	Audiologist
5	282NC0060X	Critical Access Hospital	090001	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00147	OTHER	NE	HOSPITAL

General Provider Information

NPI Number	:	1790780237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUTLER COUNTY HEALTH CARE CENTER

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

Provider Business Practice Location Address
First Line	:	372 S 9TH ST
Second Line	:
City	:	DAVID CITY
State	:	NE
Zip	:	68632-2116
Country	:	US
Telephone Number	:	402-367-1200
Fax Number	:	402-367-1350

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DONALD T NAIBERK
Credential	:
Telephone Number	:	402-367-1200

Provider Enumeration Date	:	06/20/2005
Last Update Date	:	09/29/2021

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Directions to “BUTLER COUNTY HEALTH CARE CENTER ” Practice Location

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