Provider Demographics
NPI:1316046311
Name:CHERRY COUNTY HOSPITAL
Entity type:Organization
Organization Name:CHERRY COUNTY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:C
Authorized Official - Last Name:BARGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-376-2525
Mailing Address - Street 1:510 N GREEN ST
Mailing Address - Street 2:
Mailing Address - City:VALENTINE
Mailing Address - State:NE
Mailing Address - Zip Code:69201-1932
Mailing Address - Country:US
Mailing Address - Phone:402-376-2525
Mailing Address - Fax:402-376-1627
Practice Address - Street 1:510 N GREEN ST
Practice Address - Street 2:
Practice Address - City:VALENTINE
Practice Address - State:NE
Practice Address - Zip Code:69201-1932
Practice Address - Country:US
Practice Address - Phone:402-376-2525
Practice Address - Fax:402-376-1627
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHERRY COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-09-22
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE140001282NC0060X, 275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE00422OtherBCBS OF NEBRASKA
NE00422OtherBCBS OF NEBRASKA
NE00422OtherBCBS OF NEBRASKA