| Osmond General Hospital Inc | |
|
106 E Wayne St Randolph NE 68771-5300 | |
| (402) 337-0200 | |
| (402) 337-1020 |
| Full Name | Osmond General Hospital Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 106 E Wayne St, Randolph, Nebraska |
| Authorized Official Name and Position | Tiffany J Rice (INTERIM CEO) |
| Authorized Official Contact | 4027483393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osmond General Hospital Inc Po Box 429 Osmond NE 68765-0429 Ph: (402) 748-3393 | Osmond General Hospital Inc 106 E Wayne St Randolph NE 68771-5300 Ph: (402) 337-0200 |
| NPI Number | 1700979614 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 04/27/2026 |
| Medicare PECOS PAC ID | 4183689227 |
|---|---|
| Medicare Enrollment ID | O20041130000809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700979614 | NPI | - | NPPES |
| 2131672 | Other | NE | RANDOLPH (COVENTRY) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| Provider Name | Kelly L Bullock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407941057 PECOS PAC ID: 2769483858 Enrollment ID: I20070116000077 |
| Provider Name | Anthony E Akainda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710072095 PECOS PAC ID: 9830213099 Enrollment ID: I20100825000807 |
| Provider Name | Riley D Eckmann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447487129 PECOS PAC ID: 2668631268 Enrollment ID: I20120316000217 |
| Provider Name | Alicia A Vandewalle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104276948 PECOS PAC ID: 1658663406 Enrollment ID: I20160714001396 |
| Provider Name | Matthew J Loutzenhiser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538258348 PECOS PAC ID: 6002911252 Enrollment ID: I20190508002008 |
| Provider Name | Bobbie Jo M Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306405360 PECOS PAC ID: 1759618473 Enrollment ID: I20190802002695 |
| Provider Name | Madeleine R Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154981033 PECOS PAC ID: 9638409592 Enrollment ID: I20210107001546 |
| Provider Name | Samantha K Kizzire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821694639 PECOS PAC ID: 9133533011 Enrollment ID: I20210204001912 |
| Provider Name | Katelyn M Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609446319 PECOS PAC ID: 3476945973 Enrollment ID: I20220112002752 |
Cedar County School District 45 Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 N Pierce St, Randolph, NE 68771 Phone: 402-337-0252 Fax: 402-337-0235 |