# OSMOND GENERAL HOSPITAL INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OSMOND GENERAL HOSPITAL INC
- **Other names:** Randolph Family Practice Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700979614
- **Legal business name:** OSMOND GENERAL HOSPITAL INC
- **Authorized official:** TIFFANY J RICE (INTERIM CEO)
- **Authorized official phone:** (402) 748-3393

## Contact information

- **Practice address:** 106 E WAYNE ST, RANDOLPH, NE 68771-5300
- **Practice address phone:** (402) 337-0200
- **Practice address fax:** (402) 337-1020
- **Mailing address:** PO BOX 429, OSMOND, NE 68765-0429
- **Mailing address phone:** (402) 748-3393
- **Mailing address fax:** (402) 748-6190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 04/27/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2131672 | RANDOLPH (COVENTRY) | NE |
