Provider Demographics
NPI:1215013495
Name:BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC
Entity Type:Organization
Organization Name:BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC
Other - Org Name:BEATRICE COMMUNITY HOSPITAL HOME CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HARALDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-223-7284
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 1:1110 JACKSON ST
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-2117
Practice Address - Country:US
Practice Address - Phone:402-223-2366
Practice Address - Fax:402-228-8500
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEATRICE COMMUNITY HOSPITAL & HEALTH CE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-31
Last Update Date:2018-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE321004251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========17Medicaid
NE=========02Medicaid
NE287001Medicare Oscar/Certification