Organization Name: | ST. MARY'S COMMUNITY HOSPITAL |
NPI Number: | 1851737316 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL J KELLY (CEO) |
Mailing Address: | 1301 Grundman Blvd. Suite A Nebraska City |
State: | NE US |
Postal Code: | 684103320 |
Phone Number: | 4028734242 |
Fax Number: | |
NPI Enumeration Date: | 05/10/2013 |
NPI Last Update Date: | 02/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |