Provider Demographics
NPI:1073608204
Name:BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC
Entity Type:Organization
Organization Name:BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC
Other - Org Name:THE BEATRICE WOMEN'S AND CHILDREN'S CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:JURGENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-223-7224
Mailing Address - Street 1:PO BOX 278
Mailing Address - Street 2:
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-0278
Mailing Address - Country:US
Mailing Address - Phone:402-228-3344
Mailing Address - Fax:402-223-7299
Practice Address - Street 1:4800 HOSPITAL PKWY STE 202
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-6906
Practice Address - Country:US
Practice Address - Phone:402-228-3344
Practice Address - Fax:402-223-7299
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-04
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE07-00344OtherUNITED HEALTHCARE #
NE1201520001OtherCIGNA MEDICARE
KS20 862062 01Medicaid
SD7785040Medicaid
NE31607OtherBLUE CROSS #
NEBB 2322674NOtherDEA #
KS20 862062 01Medicaid
NEBB 2322674NOtherDEA #
NE31607OtherBLUE CROSS #