MEDICARE: NEMAHA COUNTY 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	560001	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00020	OTHER	NE	BCBS OF NEBRASKA

General Provider Information

NPI Number	:	1891736237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEMAHA COUNTY HOSPITAL

Provider Business Mailing Address
First Line	:	2022 13TH ST
Second Line	:
City	:	AUBURN
State	:	NE
Zip	:	68305-1799
Country	:	US
Telephone Number	:	402-274-4366
Fax Number	:	402-274-4399

Provider Business Practice Location Address
First Line	:	2022 13TH ST
Second Line	:
City	:	AUBURN
State	:	NE
Zip	:	68305-1799
Country	:	US
Telephone Number	:	402-274-4366
Fax Number	:	402-274-4399

Authorized Official
Title or Position	:	CEO
Name	:	MR. MARTIN L FATTIG
Credential	:
Telephone Number	:	402-274-4366

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	02/18/2013

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Directions to “NEMAHA COUNTY HOSPITAL ” Practice Location

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