Organization
NEVADA CITY HOSPITAL
Active
Parent organization
NEVADA CITY HOSPITAL
Other names
Nevada Regional Medical Center Sheldon Family Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEVADA CITY HOSPITAL
Authorized official
GREG L. SHAW (CFO)
(417) 448-3618
Entity
Organization
Contact information
Practice address
810 W. MAIN STREET, SHELDON, MO 64784-9223
(417) 884-5006
(417) 884-2801
Mailing address
800 S. ASH STREET, NEVADA, MO 64772-3223
(417) 667-3355
(417) 448-3641
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
19043
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28017018
BLUE CROSS GROUP NUMBER
MO
05
—
593872302
—
MO
Enumeration date
09/22/2006
Last updated
08/26/2014
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