Provider Demographics
NPI:1790729101
Name:NEMAHA COUNTY HOSPITAL
Entity Type:Organization
Organization Name:NEMAHA COUNTY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:FATTIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-274-4366
Mailing Address - Street 1:2022 13TH ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NE
Mailing Address - Zip Code:68305-1799
Mailing Address - Country:US
Mailing Address - Phone:402-274-4366
Mailing Address - Fax:402-274-4399
Practice Address - Street 1:2022 13TH ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NE
Practice Address - Zip Code:68305-1799
Practice Address - Country:US
Practice Address - Phone:402-274-4366
Practice Address - Fax:402-274-4399
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEMAHA COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-15
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE560001275N00000X, 282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE00551OtherBCBS SNF PROVIDER NUMBER
NE00551OtherBCBS SNF PROVIDER NUMBER
NE=========00Medicaid