Provider Demographics
NPI:1598281016
Name:COZAD COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:COZAD COMMUNITY HOSPITAL
Other - Org Name:EUSTIS COMMUNITY MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:DYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-784-2261
Mailing Address - Street 1:1803 PAPIO LANE
Mailing Address - Street 2:PO BOX 86
Mailing Address - City:COZAD
Mailing Address - State:NE
Mailing Address - Zip Code:69130-0086
Mailing Address - Country:US
Mailing Address - Phone:308-784-3535
Mailing Address - Fax:308-784-3534
Practice Address - Street 1:106 E RAILROAD ST
Practice Address - Street 2:
Practice Address - City:EUSTIS
Practice Address - State:NE
Practice Address - Zip Code:69028-3529
Practice Address - Country:US
Practice Address - Phone:308-486-2215
Practice Address - Fax:308-784-3534
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COZAD COMMUNITY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-08-16
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty