Provider Demographics
NPI:1134342306
Name:CHADRON COMMUNITY HOSPITAL CORP.
Entity type:Organization
Organization Name:CHADRON COMMUNITY HOSPITAL CORP.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-432-5586
Mailing Address - Street 1:300 SHELTON ST
Mailing Address - Street 2:
Mailing Address - City:CHADRON
Mailing Address - State:NE
Mailing Address - Zip Code:69337-2312
Mailing Address - Country:US
Mailing Address - Phone:308-432-5586
Mailing Address - Fax:308-432-2737
Practice Address - Street 1:848 MOREHEAD ST
Practice Address - Street 2:
Practice Address - City:CHADRON
Practice Address - State:NE
Practice Address - Zip Code:69337-2547
Practice Address - Country:US
Practice Address - Phone:308-432-2747
Practice Address - Fax:308-432-8974
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHADRON COMMUNITY HOSPITAL CORP.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-10
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025475900Medicaid
NE10025476000Medicaid
NE10025476900Medicaid
NE10025475800Medicaid
NE10025476100Medicaid