Provider Demographics
NPI:1013092592
Name:BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC
Entity Type:Organization
Organization Name:BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC
Other - Org Name:BCHHC IMMUNIZATION CLINIC
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HARALDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-223-7284
Mailing Address - Street 1:PO BOX 278
Mailing Address - Street 2:
Mailing Address - City:BEATRICE
Mailing Address - State:NE
Mailing Address - Zip Code:68310-0278
Mailing Address - Country:US
Mailing Address - Phone:402-228-3344
Mailing Address - Fax:402-223-6559
Practice Address - Street 1:4800 HOSPITAL PKWY
Practice Address - Street 2:
Practice Address - City:BEATRICE
Practice Address - State:NE
Practice Address - Zip Code:68310-6906
Practice Address - Country:US
Practice Address - Phone:402-223-2366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEATRICE COMMUNITY HOSPITAL & HEALTH CE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-25
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE01611OtherBLUE CROSS PROF FEES #
NE=========37Medicaid