# MORRILL COUNTY COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MORRILL COUNTY COMMUNITY HOSPITAL
- **Other names:** Chimney Rock Medical Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689891087
- **Legal business name:** MORRILL COUNTY COMMUNITY HOSPITAL
- **Authorized official:** MS. ROBIN L. STUART (CEO)
- **Authorized official phone:** (308) 262-1616

## Contact information

- **Practice address:** 320 MAIN STREET, BAYARD, NE 69334-1500
- **Practice address phone:** (308) 586-1717
- **Practice address fax:** (308) 586-1263
- **Mailing address:** PO BOX H, BAYARD, NE 69334-0682
- **Mailing address phone:** (308) 586-1717
- **Mailing address fax:** (308) 586-1263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/19/2007
- **Last updated:** 10/11/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 03135 | BCBS OF NEBRASKA | NE |
