Organization
CITY OF GENOA
Active
Other names
Genoa Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ROEBUCK (CEO)
(402) 993-4583
Entity
Organization
Contact information
Practice address
706 EWING ST, GENOA, NE 68640-3035
(402) 993-2283
(402) 993-2373
Mailing address
PO BOX 310, GENOA, NE 68640-0310
(402) 993-2283
(402) 993-2373
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
550001
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00185
BLUE CROSS BLUE SHIELD
NE
Enumeration date
05/04/2006
Last updated
01/23/2020
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