# NEVADA CITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Nevada Regional Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942283866
- **Authorized official:** JASON ANGLIN (CEO/AUTHORIZED OFFICIAL)
- **Authorized official phone:** (417) 448-3626

## Contact information

- **Practice address:** 800 S ASH ST, NEVADA, MO 64772
- **Practice address phone:** (417) 667-3355
- **Practice address fax:** (417) 448-3796
- **Mailing address:** 800 S ASH ST, NEVADA, MO 64772-3223
- **Mailing address phone:** (417) 667-3355
- **Mailing address fax:** (417) 448-3796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273R00000X | Psychiatric Hospital Unit | — | NULL | — |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | — | NULL | — |
| 282NR1301X | Rural Acute Care Hospital | 190-46 | MO | Yes |

## Other

- **Enumeration date:** 11/23/2005
- **Last updated:** 12/19/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010419000 | — | MO |
| 01 | — | 01341012 | PROFESSIONAL BCBS | MO |
| 05 | — | 100099780A | — | MO |
| 01 | — | 260061 | MEDICARE OSCAR | MO |
| 01 | — | 26S061 | MEDICARE OSCAR | MO |
| 01 | — | 26U061 | MEDICARE OSCAR | MO |
| 05 | — | 540419009 | — | MO |
| 01 | — | 90034015 | FACILITY BCBS | MO |
| 01 | — | CD4556 | RAILROAD MEDICARE | — |