Provider Demographics
NPI:1720145188
Name:CHADRON COMMUNITY HOSPITAL CORP.
Entity Type:Organization
Organization Name:CHADRON COMMUNITY HOSPITAL CORP.
Other - Org Name:WESTERN COMMUNITY HEALTH RESOURCES
Other - Org Type:Doing Business As
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:308-432-2747
Mailing Address - Fax:308-432-8974
Practice Address - Street 1:300 SHELTON ST
Practice Address - Street 2:
Practice Address - City:CHADRON
Practice Address - State:NE
Practice Address - Zip Code:69337-2312
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:2007-01-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NEHC015251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========-10Medicaid
NE=========-10Medicaid