Provider Demographics
NPI:1255761631
Name:KIMBALL COUNTY HOSPITAL
Entity type:Organization
Organization Name:KIMBALL COUNTY HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:HERBERT
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-235-1951
Mailing Address - Street 1:505 S BURG ST
Mailing Address - Street 2:
Mailing Address - City:KIMBALL
Mailing Address - State:NE
Mailing Address - Zip Code:69145-1313
Mailing Address - Country:US
Mailing Address - Phone:308-235-1951
Mailing Address - Fax:
Practice Address - Street 1:922 1/2 SHERMAN STREET
Practice Address - Street 2:
Practice Address - City:POTTER
Practice Address - State:NE
Practice Address - Zip Code:69156-0163
Practice Address - Country:US
Practice Address - Phone:308-879-0155
Practice Address - Fax:308-235-2403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-20
Last Update Date:2019-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health