# DUNDY COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DUNDY COUNTY HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1417030123
- **Legal business name:** DUNDY COUNTY HOSPITAL
- **Authorized official:** JEREMIAH W HANES (CEO)
- **Authorized official phone:** (308) 423-2204

## Contact information

- **Practice address:** 1313 N CHEYENNE ST, BENKELMAN, NE 69021-3074
- **Practice address phone:** (308) 423-2204
- **Practice address fax:** (308) 423-5691
- **Mailing address:** PO BOX 710, BENKELMAN, NE 69021-0710
- **Mailing address phone:** (308) 423-2151
- **Mailing address fax:** (308) 423-2217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | NULL | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 10/24/2006
- **Last updated:** 12/27/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 03512 | CLINIC-BCBS OF NE | NE |
| 01 | — | 04253 | HOSP PROF SVC-BCBS OF NE | NE |
| 01 | — | 36485 | CRNA-BCBS OF NE | NE |
| 05 | — | ========= | ER PROF SVCS | NE |
| 01 | — | CH5949 | RR MEDICARE | NE |