Provider Demographics
NPI:1467675629
Name:CHADRON COMMUNITY HOSPITAL CORP.
Entity Type:Organization
Organization Name:CHADRON COMMUNITY HOSPITAL CORP.
Other - Org Name:CHADRON COMMUNITY HOSPITAL AND HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-432-5586
Mailing Address - Street 1:825 CENTENNIAL DR.
Mailing Address - Street 2:
Mailing Address - City:CHADRON
Mailing Address - State:NE
Mailing Address - Zip Code:69337-9400
Mailing Address - Country:US
Mailing Address - Phone:308-432-5586
Mailing Address - Fax:308-432-2737
Practice Address - Street 1:825 CENTENNIAL DR.
Practice Address - Street 2:
Practice Address - City:CHADRON
Practice Address - State:NE
Practice Address - Zip Code:69337-9400
Practice Address - Country:US
Practice Address - Phone:308-432-5586
Practice Address - Fax:308-432-2737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-10
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEH000117282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0120060Medicaid
SD5520060Medicaid
NE00067OtherBCBS UB04
NE08596OtherBCBS CRNA
SD0120060Medicaid
SD0120060Medicaid
NE=========00Medicaid
NE=========00Medicaid
WY109132800Medicaid