Provider Demographics
NPI:1699719013
Name:NEMAHA COUNTY HOSPITAL
Entity type:Organization
Organization Name:NEMAHA COUNTY HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:FATTIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-274-4366
Mailing Address - Street 1:2022 13TH ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NE
Mailing Address - Zip Code:68305-1799
Mailing Address - Country:US
Mailing Address - Phone:402-274-6115
Mailing Address - Fax:402-274-6114
Practice Address - Street 1:2022 13TH ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NE
Practice Address - Zip Code:68305-1799
Practice Address - Country:US
Practice Address - Phone:402-274-6115
Practice Address - Fax:402-274-6114
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEMAHA COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-15
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE561001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE000722OtherBCBS HOME HEALTH #
NE=========01Medicaid
NE287120Medicare Oscar/Certification