Organization Name: | COMMUNITY HOSPITAL ASSOCIATION |
NPI Number: | 1316981764 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TROY A BRUNTZ (VICE PRESIDENT FINANCE & CFO) |
Mailing Address: | 711 E 11th St Ste A Mc Cook |
State: | NE US |
Postal Code: | 690013692 |
Phone Number: | 3083448356 |
Fax Number: | |
NPI Enumeration Date: | 06/16/2006 |
NPI Last Update Date: | 06/11/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | HOSPICE 17 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |