Provider Demographics
NPI:1679662654
Name:PLAINVIEW PUBLIC HOSPITAL
Entity Type:Organization
Organization Name:PLAINVIEW PUBLIC HOSPITAL
Other - Org Name:PLAINVIEW MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:B
Authorized Official - Last Name:GAMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-582-4245
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NE
Mailing Address - Zip Code:68769-0489
Mailing Address - Country:US
Mailing Address - Phone:402-582-4245
Mailing Address - Fax:402-582-3940
Practice Address - Street 1:704 N 3RD ST
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NE
Practice Address - Zip Code:68769-2047
Practice Address - Country:US
Practice Address - Phone:402-582-4245
Practice Address - Fax:402-582-3940
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PLAINVIEW PUBLIC HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-11
Last Update Date:2009-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========18Medicaid
NE=========18Medicaid