Provider Demographics
NPI:1770541419
Name:WEBSTER COUNTY COMMUNITY HOSPITAL
Entity type:Organization
Organization Name:WEBSTER COUNTY COMMUNITY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIANNA
Authorized Official - Middle Name:S
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-746-5600
Mailing Address - Street 1:6TH STREET & FRANKLIN STREET
Mailing Address - Street 2:
Mailing Address - City:RED CLOUD
Mailing Address - State:NE
Mailing Address - Zip Code:68970
Mailing Address - Country:US
Mailing Address - Phone:402-746-5600
Mailing Address - Fax:402-746-5687
Practice Address - Street 1:6TH STREET & FRANKLIN STREET
Practice Address - Street 2:
Practice Address - City:RED CLOUD
Practice Address - State:NE
Practice Address - Zip Code:68970-0465
Practice Address - Country:US
Practice Address - Phone:402-746-5600
Practice Address - Fax:402-746-5687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE28Z316275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========00Medicaid
NE=========00Medicaid