Provider Demographics
NPI:1629150099
Name:OSMOND GENERAL HOSPITAL INC
Entity Type:Organization
Organization Name:OSMOND GENERAL HOSPITAL INC
Other - Org Name:OSMOND GENERAL HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LON
Authorized Official - Middle Name:M
Authorized Official - Last Name:KNIEVEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-748-3393
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:OSMOND
Mailing Address - State:NE
Mailing Address - Zip Code:68765-0429
Mailing Address - Country:US
Mailing Address - Phone:402-748-3393
Mailing Address - Fax:402-748-6190
Practice Address - Street 1:402 N MAPLE ST
Practice Address - Street 2:
Practice Address - City:OSMOND
Practice Address - State:NE
Practice Address - Zip Code:68765-5726
Practice Address - Country:US
Practice Address - Phone:402-748-3393
Practice Address - Fax:402-748-6190
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OSMOND GENERAL HOSPITAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-19
Last Update Date:2019-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
282NC0060X
NE520001275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE00275OtherSWING-BED (BCBS OF NE)
NE=========00Medicaid
NE=========00Medicaid