Provider Demographics
NPI:1609946417
Name:TILDEN COMMUNITY HOSPITAL & RURAL HEALTH CLINIC
Entity Type:Organization
Organization Name:TILDEN COMMUNITY HOSPITAL & RURAL HEALTH CLINIC
Other - Org Name:TILDEN COMM HOSPITAL SKILLED NURSING
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-368-5343
Mailing Address - Street 1:PO BOX 340
Mailing Address - Street 2:
Mailing Address - City:TILDEN
Mailing Address - State:NE
Mailing Address - Zip Code:68781-0340
Mailing Address - Country:US
Mailing Address - Phone:402-368-5343
Mailing Address - Fax:402-368-7746
Practice Address - Street 1:308 W 2ND ST
Practice Address - Street 2:
Practice Address - City:TILDEN
Practice Address - State:NE
Practice Address - Zip Code:68781-4760
Practice Address - Country:US
Practice Address - Phone:402-368-5343
Practice Address - Fax:402-368-7746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE020002282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE60093OtherBLUE CROSS
NE60093OtherBLUE CROSS
NE=========OtherOTHER