Organization Name: | CHADRON COMMUNITY HOSPITAL CORPORATION |
NPI Number: | 1144483850 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HAROLD L KRUEGER (CEO) |
Mailing Address: | 825 Centennial Dr. Chadron |
State: | NE US |
Postal Code: | 693379400 |
Phone Number: | 3084325586 |
Fax Number: | 3084322737 |
NPI Enumeration Date: | 07/03/2008 |
NPI Last Update Date: | 05/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |