Provider Demographics
NPI:1861687907
Name:BRYAN LGH HOSPITAL
Entity Type:Organization
Organization Name:BRYAN LGH HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:RUPE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:402-540-1499
Mailing Address - Street 1:2300 SOUTH 16TH
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68502
Mailing Address - Country:US
Mailing Address - Phone:402-540-1499
Mailing Address - Fax:402-481-4315
Practice Address - Street 1:2300 SOUTH 16TH
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68502
Practice Address - Country:US
Practice Address - Phone:402-540-1499
Practice Address - Fax:402-481-4315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2608282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital