Provider Demographics
NPI:1942381017
Name:PLAINVIEW PUBLIC HOSPITAL
Entity Type:Organization
Organization Name:PLAINVIEW PUBLIC HOSPITAL
Other - Org Name:PLAINVIEW HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:B
Authorized Official - Last Name:GAMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-582-4245
Mailing Address - Street 1:PO BOX 489
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NE
Mailing Address - Zip Code:68769-0489
Mailing Address - Country:US
Mailing Address - Phone:402-582-4245
Mailing Address - Fax:402-582-3940
Practice Address - Street 1:101 W HARPER AVE
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NE
Practice Address - Zip Code:68769-2037
Practice Address - Country:US
Practice Address - Phone:402-582-4249
Practice Address - Fax:402-582-4229
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PLAINVIEW PUBLIC HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-17
Last Update Date:2012-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE621001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE00622OtherHOME HEALTH (BCBS OF NE)
NE08922OtherHHA SUPPLIES (BCBS OF NE)
NE=========14Medicaid
NE287110Medicare Oscar/Certification