Provider Demographics
NPI:1457458556
Name:FATHER FLANAGAN'S BOYS' HOME
Entity Type:Organization
Organization Name:FATHER FLANAGAN'S BOYS' HOME
Other - Org Name:BOYS TOWN NATIONAL RESEARCH HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:F
Authorized Official - Last Name:RASMUSSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-498-3131
Mailing Address - Street 1:555 N 30TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2136
Mailing Address - Country:US
Mailing Address - Phone:402-498-6509
Mailing Address - Fax:402-498-6357
Practice Address - Street 1:555 N 30TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2136
Practice Address - Country:US
Practice Address - Phone:402-498-6509
Practice Address - Fax:402-498-6357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2020-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE260004282NC2000X
NEH000107282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD012840Medicaid
NE00154OtherBCBS OF NE (HOSPITAL)
NEH342OtherMIDLANDS CHOICE HOSPITAL
IA0913178Medicaid
NE00154OtherBCBS OF NE (HOSPITAL)
IL=========01Medicaid
NE=========00Medicaid