Provider Demographics
NPI:1992846588
Name:KEARNEY CO HEALTH SERVICES
Entity Type:Organization
Organization Name:KEARNEY CO HEALTH SERVICES
Other - Org Name:KEARNEY COUNTY HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:D
Authorized Official - Last Name:POORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-832-3400
Mailing Address - Street 1:727 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:MINDEN
Mailing Address - State:NE
Mailing Address - Zip Code:68959-1705
Mailing Address - Country:US
Mailing Address - Phone:308-832-3400
Mailing Address - Fax:308-832-3414
Practice Address - Street 1:727 E 1ST ST
Practice Address - Street 2:
Practice Address - City:MINDEN
Practice Address - State:NE
Practice Address - Zip Code:68959
Practice Address - Country:US
Practice Address - Phone:308-832-3400
Practice Address - Fax:308-832-3414
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KEARNEY CO HEALTH SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-08
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE460001275N00000X, 282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========00Medicaid
NE28Z306Medicare Oscar/Certification