Organization Name: | COZAD COMMUNITY HOSPITAL |
NPI Number: | 1881632883 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYLE E DAVIS (ADMINISTRATOR) |
Mailing Address: | 300 E 12th St Cozad |
State: | NE US |
Postal Code: | 691301505 |
Phone Number: | 3087842261 |
Fax Number: | 3087844691 |
NPI Enumeration Date: | 06/02/2006 |
NPI Last Update Date: | 05/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | 220001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |