Provider Demographics
NPI:1477640985
Name:DUNDY COUNTY HOSPITAL
Entity Type:Organization
Organization Name:DUNDY COUNTY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTOPHER
Authorized Official - Middle Name:S
Authorized Official - Last Name:MATHEWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-423-2204
Mailing Address - Street 1:PO BOX 710
Mailing Address - Street 2:
Mailing Address - City:BENKELMAN
Mailing Address - State:NE
Mailing Address - Zip Code:69021-0710
Mailing Address - Country:US
Mailing Address - Phone:308-423-2151
Mailing Address - Fax:308-423-2217
Practice Address - Street 1:903 BAILEY ST
Practice Address - Street 2:
Practice Address - City:STRATTON
Practice Address - State:NE
Practice Address - Zip Code:69043-5121
Practice Address - Country:US
Practice Address - Phone:308-276-2411
Practice Address - Fax:308-276-2415
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DUNDY COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-06
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========11MedicaidRHC
NE=========11Medicaid
NE283441Medicare Oscar/Certification