Provider Demographics
NPI:1669447223
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:CASSIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GASSELING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-235-1951
Mailing Address - Street 1:255 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:KIMBALL
Mailing Address - State:NE
Mailing Address - Zip Code:69145-1706
Mailing Address - Country:US
Mailing Address - Phone:308-235-1951
Mailing Address - Fax:308-235-1955
Practice Address - Street 1:255 W 4TH ST
Practice Address - Street 2:
Practice Address - City:KIMBALL
Practice Address - State:NE
Practice Address - Zip Code:69145-1706
Practice Address - Country:US
Practice Address - Phone:308-235-1951
Practice Address - Fax:308-235-1955
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KIMBALL COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-02-17
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
282NC0060X, 275N00000X
NE480001314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE28Z305Medicare Oscar/Certification