| Organization Name: | NEVADA CITY HOSPITAL |
| NPI Number: | 1144605312 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVE RUSS (CHAIR/BOARD MEMBER) |
| Mailing Address: | 627 S Ash St Ste. B Nevada |
| State: | MO US |
| Postal Code: | 647723218 |
| Phone Number: | 4176673355 |
| Fax Number: | 4174483796 |
| NPI Enumeration Date: | 07/29/2015 |
| NPI Last Update Date: | 07/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | 190-56 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |