Organization
BOX BUTTE GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL W GRIESS (CEO)
(308) 762-6660
Entity
Organization
Contact information
Practice address
2101 BOX BUTTE AVE, ALLIANCE, NE 69301-4445
(308) 762-6660
(308) 762-1923
Mailing address
PO BOX 810, ALLIANCE, NE 69301-0810
(308) 762-6660
(308) 762-1923
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
040001
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03495
NEBR BCBS PROF FEES
NE
01
—
08610
NEBR BCBS CRNA
NE
05
—
10025332400
—
NE
01
—
81090
NEBR BCBS CERT DIAB ED
NE
01
—
C01692
RR MEDICARE PROF FEES
—
Enumeration date
12/08/2006
Last updated
08/22/2020
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