Provider Demographics
NPI:1144318023
Name:WEBSTER COUNTY COMMUNITY HOSPITAL
Entity type:Organization
Organization Name:WEBSTER COUNTY COMMUNITY HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HOSPITAL ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SHECKLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-746-5614
Mailing Address - Street 1:PO BOX 465
Mailing Address - Street 2:
Mailing Address - City:RED CLOUD
Mailing Address - State:NE
Mailing Address - Zip Code:68970-0465
Mailing Address - Country:US
Mailing Address - Phone:402-746-5614
Mailing Address - Fax:402-746-5684
Practice Address - Street 1:721 W 6TH AVE
Practice Address - Street 2:
Practice Address - City:RED CLOUD
Practice Address - State:NE
Practice Address - Zip Code:68970-2278
Practice Address - Country:US
Practice Address - Phone:402-746-5614
Practice Address - Fax:402-746-5684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE=========12Medicaid
NE=========18Medicaid
NE=========OtherOTHER INSURANCE
NE=========18Medicaid
NE=========12Medicaid