Organization
OGALLALA COMMUNITY HOSPITAL
Active
Parent organization
BANNER HEALTH
Other names
Banner Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
TIMOTHY GULLINGSRUD (CEO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
2601 N SPRUCE ST STE A, OGALLALA, NE 69153-2465
(308) 284-4011
(308) 284-7212
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
04/16/2026
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