Organization · Type 2 NPI

Ogallala Community Hospital

Rural Health Clinic/Center · Ogallala, NE

NPI number 1366962706 Active

Practice location

2601 N Spruce St Ste A
Ogallala, NE 69153-2465

Call (308) 284-3645 Map

Fax (308) 284-2721

Mailing address

2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

Another provider at this address

Ogallala Community HospitalRural Health Clinic/Center Ogallala, NE NPI 1396455481

Other rural health clinic/center providers in Ogallala

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NPI record

NPI: 1366962706
Entity type: Organization (Type 2)
Issued: Jun 27, 2017
Last updated: Apr 20, 2023
Status: Active
Subpart: Yes of Banner Health

Other names

<unavail>
Banner Health Clinic · other name
Banner Health Clinic · other name

Authorized official

Timothy Gullingsrud
CEO
(308) 284-7264

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366962706

Ogallala Community Hospital's National Provider Identifier is 1366962706, issued on Jun 27, 2017. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Ogallala, NE. The record was last updated on Apr 20, 2023.