Provider Demographics
NPI:1730448606
Name:PAWNEE COUNTY MEMORIAL HOSPITAL
Entity type:Organization
Organization Name:PAWNEE COUNTY MEMORIAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-852-2231
Mailing Address - Street 1:600 I ST
Mailing Address - Street 2:P.O. BOX 433
Mailing Address - City:PAWNEE CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68420-3001
Mailing Address - Country:US
Mailing Address - Phone:402-852-3111
Mailing Address - Fax:402-852-2098
Practice Address - Street 1:600 I ST
Practice Address - Street 2:
Practice Address - City:PAWNEE CITY
Practice Address - State:NE
Practice Address - Zip Code:68420-3001
Practice Address - Country:US
Practice Address - Phone:402-852-3111
Practice Address - Fax:402-852-2098
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PAWNEE COUNTY MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-05-11
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE5129341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance