Provider Demographics
NPI:1326027160
Name:KIMBALL COUNTY HOSPITAL
Entity Type:Organization
Organization Name:KIMBALL COUNTY HOSPITAL
Other - Org Name:KIMBALL HEALTH SERVICES CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CASSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GASSELING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-235-1951
Mailing Address - Street 1:255 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:KIMBALL
Mailing Address - State:NE
Mailing Address - Zip Code:69145-1706
Mailing Address - Country:US
Mailing Address - Phone:308-235-1951
Mailing Address - Fax:308-235-1955
Practice Address - Street 1:255 W 4TH ST
Practice Address - Street 2:
Practice Address - City:KIMBALL
Practice Address - State:NE
Practice Address - Zip Code:69145-1706
Practice Address - Country:US
Practice Address - Phone:308-235-1951
Practice Address - Fax:308-235-1955
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KIMBALL COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-01-11
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE283437Medicare Oscar/Certification