Provider Demographics
NPI:1811079775
Name:DUNDY COUNTY HOSPITAL
Entity type:Organization
Organization Name:DUNDY COUNTY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEREMIAH
Authorized Official - Middle Name:W
Authorized Official - Last Name:HANES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-423-2204
Mailing Address - Street 1:PO BOX 626
Mailing Address - Street 2:
Mailing Address - City:BENKELMAN
Mailing Address - State:NE
Mailing Address - Zip Code:69021-0626
Mailing Address - Country:US
Mailing Address - Phone:308-423-2204
Mailing Address - Fax:308-423-5691
Practice Address - Street 1:1313 N CHEYENNE ST
Practice Address - Street 2:
Practice Address - City:BENKELMAN
Practice Address - State:NE
Practice Address - Zip Code:69021-3074
Practice Address - Country:US
Practice Address - Phone:308-423-2204
Practice Address - Fax:308-423-5691
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DUNDY COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-19
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE270001282NC0060X, 275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE00570OtherSWING-BED (BCBS OF NE)
NE=========00MedicaidSWING-BED UNIT
NE=========00Medicaid
NE00570OtherSWING-BED (BCBS OF NE)