# NIOBRARA VALLEY HOSPITAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Niobrara Valley Hospital Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467520270
- **Authorized official:** MR. KELLY KALKOWSKI (ADMINISTRATOR & CEO)
- **Authorized official phone:** (402) 569-2451

## Contact information

- **Practice address:** 108 WEST EVANS ST, SPENCER, NE 68777-0269
- **Practice address phone:** (402) 589-1580
- **Mailing address:** PO BOX 118, LYNCH, NE 68746-0118
- **Mailing address phone:** (402) 569-2451
- **Mailing address fax:** (402) 569-2474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NE | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 05/02/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ========= | — | NE |