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	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1902660509
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	:	69101-6525
Country	:	US
Telephone Number	:	308-568-7496
Fax Number	:	308-568-7396

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	:	308-568-8000
Fax Number	:

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

Provider Enumeration Date	:	02/13/2024
Last Update Date	:	03/12/2026

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