Provider Demographics
NPI:1730109075
Name:MORRILL COUNTY COMMUNITY HOSPITAL
Entity Type:Organization
Organization Name:MORRILL COUNTY COMMUNITY HOSPITAL
Other - Org Name:MORRILL COUNTY HOSPITAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:STUART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-262-1616
Mailing Address - Street 1:1313 S ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:NE
Mailing Address - Zip Code:69336-2563
Mailing Address - Country:US
Mailing Address - Phone:308-262-1616
Mailing Address - Fax:308-262-0843
Practice Address - Street 1:1313 S ST
Practice Address - Street 2:STE A
Practice Address - City:BRIDGEPORT
Practice Address - State:NE
Practice Address - Zip Code:69336-2563
Practice Address - Country:US
Practice Address - Phone:308-262-1755
Practice Address - Fax:308-262-0765
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORRILL COUNTY COMMUNITY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-20
Last Update Date:2014-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE283430Medicare Oscar/Certification