Provider Demographics
NPI:1710207295
Name:VALLEY COUNTY HOSPITAL
Entity Type:Organization
Organization Name:VALLEY COUNTY HOSPITAL
Other - Org Name:VALLEY COUNTY HEALTH SYSTEM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHRAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-728-4293
Mailing Address - Street 1:217 WESTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:ORD
Mailing Address - State:NE
Mailing Address - Zip Code:68862-1675
Mailing Address - Country:US
Mailing Address - Phone:308-728-3211
Mailing Address - Fax:
Practice Address - Street 1:217 WESTRIDGE DR
Practice Address - Street 2:
Practice Address - City:ORD
Practice Address - State:NE
Practice Address - Zip Code:68862-1675
Practice Address - Country:US
Practice Address - Phone:308-728-3211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-07
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
002606OtherAMERICAN DIABETES ASSOC CERTIFICATE OF RECOGNITION
NED81016OtherBCBS OF NE DIABETES EDUCATION PROVIDER NUMBER