| Organization Name: | PENDER COMMUNITY HOSPITAL DISTRICT, INC |
| NPI Number: | 1134355696 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL HANSEN (CEO/ADMINISTRATOR) |
| Mailing Address: | 603 Earl St Pender |
| State: | NE US |
| Postal Code: | 680475030 |
| Phone Number: | 4023853083 |
| Fax Number: | |
| NPI Enumeration Date: | 06/10/2009 |
| NPI Last Update Date: | 06/10/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |