Organization Name: | ST. MARY'S COMMUNITY HOSPITAL |
NPI Number: | 1528016995 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL J. KELLY (CEO) |
Mailing Address: | 1301 Grundman Blvd Nebraska City |
State: | NE US |
Postal Code: | 684103323 |
Phone Number: | 4028733321 |
Fax Number: | 4028739033 |
NPI Enumeration Date: | 05/05/2006 |
NPI Last Update Date: | 05/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | H000128 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |