Provider Demographics
NPI:1710307673
Name:OSMOND GENERAL HOSPITAL INC
Entity Type:Organization
Organization Name:OSMOND GENERAL HOSPITAL INC
Other - Org Name:OSMOND FAMILY PRACTICE
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 370
Mailing Address - Street 2:
Mailing Address - City:OSMOND
Mailing Address - State:NE
Mailing Address - Zip Code:68765-0370
Mailing Address - Country:US
Mailing Address - Phone:402-748-3366
Mailing Address - Fax:
Practice Address - Street 1:418 N STATE ST
Practice Address - Street 2:
Practice Address - City:OSMOND
Practice Address - State:NE
Practice Address - Zip Code:68765-5722
Practice Address - Country:US
Practice Address - Phone:402-748-3366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OSMOND GENERAL HOSPITAL INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-04-18
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural HealthGroup - Multi-Specialty