Provider Demographics
NPI:1396782439
Name:BUTLER COUNTY HEALTH CARE CENTER
Entity type:Organization
Organization Name:BUTLER COUNTY HEALTH CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:T
Authorized Official - Last Name:NAIBERK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-367-1200
Mailing Address - Street 1:372 S 9TH ST
Mailing Address - Street 2:
Mailing Address - City:DAVID CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68632-2116
Mailing Address - Country:US
Mailing Address - Phone:402-367-1200
Mailing Address - Fax:402-367-1350
Practice Address - Street 1:104 N RAILWAY ST
Practice Address - Street 2:
Practice Address - City:PRAGUE
Practice Address - State:NE
Practice Address - Zip Code:68050
Practice Address - Country:US
Practice Address - Phone:402-663-5212
Practice Address - Fax:402-663-5213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE090001261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE0548OtherRURAL HEALTH CLINIC-PRAGU
NE0100260OtherRURAL HEALTH CLINIC-PRAGU
NE2021OtherRURAL HEALTH CLINIC-PRAGU
NE38721OtherRURAL HEALTH CLINIC-PRAGU
NE23041OtherRURAL HEALTH CLINIC-PRAGU
NE0100348OtherRURAL HEALTH CLINIC-PRAGU
NE30847OtherRURAL HEALTH CLINIC-PRAGU
NE2017OtherRURAL HEALTH CLINIC-PRAGU
NE2021OtherRURAL HEALTH CLINIC-PRAGU
NE30847OtherRURAL HEALTH CLINIC-PRAGU
NE23041OtherRURAL HEALTH CLINIC-PRAGU
NE38721OtherRURAL HEALTH CLINIC-PRAGU
NE=========01Medicaid