| Niobrara Valley Hospital Corporation | |
|
401 S 5th St Lynch NE 68746-3013 | |
| (402) 569-2451 | |
| (402) 569-2474 |
| Full Name | Niobrara Valley Hospital Corporation |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 401 S 5th St, Lynch, Nebraska |
| Authorized Official Name and Position | Kelly E Kalkowski (ADMINISTRATOR) |
| Authorized Official Contact | 4025692451 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Niobrara Valley Hospital Corporation Po Box 118 Lynch NE 68746-0118 Ph: (402) 569-2451 | Niobrara Valley Hospital Corporation 401 S 5th St Lynch NE 68746-3013 Ph: (402) 569-2451 |
| NPI Number | 1063470953 |
|---|---|
| Provider Enumeration Date | 05/02/2006 |
| Last Update Date | 12/10/2014 |
| Medicare PECOS PAC ID | 8921047754 |
|---|---|
| Medicare Enrollment ID | O20050429000906 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063470953 | NPI | - | NPPES |
| 00137 | Other | NE | BC BS IDENTIFICATION NUMB |
| Provider Name | David B Jameson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083616502 PECOS PAC ID: 9335193986 Enrollment ID: I20050308000329 |
| Provider Name | Emily Christine Nolan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881096998 PECOS PAC ID: 8224259122 Enrollment ID: I20141017001162 |
| Provider Name | Joshua D Becker |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1649514647 PECOS PAC ID: 1153566880 Enrollment ID: I20141029002679 |
| Provider Name | Logan J Kopf |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1447609300 PECOS PAC ID: 4587957410 Enrollment ID: I20171019001435 |
| Provider Name | Brent D Jameson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750769360 PECOS PAC ID: 4486960465 Enrollment ID: I20180619002395 |
| Provider Name | Stephanie E Wortman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811543077 PECOS PAC ID: 2668702366 Enrollment ID: I20190923002975 |
| Provider Name | Kelli M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710537253 PECOS PAC ID: 5698785954 Enrollment ID: I20191211001443 |
| Provider Name | Kurtis M Hoefling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245878115 PECOS PAC ID: 1557796752 Enrollment ID: I20200116001025 |
| Provider Name | Reegyn A Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942987656 PECOS PAC ID: 9133580418 Enrollment ID: I20230802004072 |