| Organization Name: | COZAD COMMUNITY HOSPITAL |
| NPI Number: | 1720379191 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LYLE DAVIS (ADMINISTRATOR) |
| Mailing Address: | 835 Meridian Ave Cozad |
| State: | NE US |
| Postal Code: | 691301754 |
| Phone Number: | 3087844630 |
| Fax Number: | 3087844635 |
| NPI Enumeration Date: | 04/20/2011 |
| NPI Last Update Date: | 03/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | HOSPICE 6 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |