NPIMap

Organization Active NPI

Webster County Community Hospital

Doing business as Webster County Clinic

  • Family Medicine Physician
  • Guide Rock, NE
National Provider Identifier
1003949553
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WEBSTER COUNTY COMMUNITY HOSPITAL
Doing business as
Webster County Clinic
Practice address
420 University Ave
Guide Rock, NE 68942-9998
Phone
(402) 257-2061
Fax
(402) 257-2062
NPI assigned
Mar 13, 2007
Reactivated
Jul 20, 2016
Last updated
Aug 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Mirya C Hallock
Title
Administrator
Phone
(402) 746-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

420 University Ave
Guide Rock, NE 68942-9998

Mailing address

721 W 6TH Ave
Red Cloud, NE 68970-2278
Phone (402) 746-5614

Other names 1

  • Webster County Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Webster County Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

721 W 6th Ave
Red Cloud, NE 68970
Phone (402) 746-2249

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/b68d0a04-43b9-441e-a3e1-bbf0caaa35f9/

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471392000000",
    "number": "1003949553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W 6TH AVE",
            "city": "RED CLOUD",
            "state": "NE",
            "postal_code": "689702278",
            "telephone_number": "402-746-5614",
            "fax_number": "402-746-5684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 UNIVERSITY AVE",
            "city": "GUIDE ROCK",
            "state": "NE",
            "postal_code": "689429998",
            "telephone_number": "402-257-2061",
            "fax_number": "402-257-2062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER COUNTY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2016-08-17",
        "deactivation_date": "2013-09-05",
        "reactivation_date": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "HALLOCK",
        "authorized_official_first_name": "MIRYA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-746-5600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Webster County Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guide Rock, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.