NPIMap

Organization Active NPI

Box Butte General Hospital

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Alliance, NE
National Provider Identifier
1063580454
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
ESRD024 Issued in NE
Legal business name
BOX BUTTE GENERAL HOSPITAL
Practice address
2101 Box Butte Ave
Alliance, NE 69301-4445
Phone
(308) 762-6660
Fax
(308) 762-1923
NPI assigned
Dec 1, 2006
Last updated
Apr 3, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
BOX BUTTE GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Authorized official

Name
Daniel W Griess
Title
Ceo
Phone
(308) 762-6660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X ESRD024 NE Primary

Addresses

Primary practice location

2101 Box Butte Ave
Alliance, NE 69301-4445

Mailing address

2101 Box Butte Avenue
PO Box 810
Alliance, NE 69301-0810
Phone (308) 762-6660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041215000179 NE Part A Provider - End-Stage Renal Disease Facility (ESRD) 9638089584 Practice locations: Alliance, NE

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Box Butte General Hospi5 organizations share this tax ID, including this one
Part of
Box Butte General Hospi

Other organizations with this tax ID 4

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Box Butte General HospitalAlliance, NE, CCN 28Z360 Hospital Other (100%) Oct 1, 1976

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396483200000",
    "number": "1063580454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 BOX BUTTE AVENUE",
            "address_2": "PO BOX 810",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693010810",
            "telephone_number": "308-762-6660",
            "fax_number": "308-762-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 BOX BUTTE AVE",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693014445",
            "telephone_number": "308-762-6660",
            "fax_number": "308-762-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOX BUTTE GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOX BUTTE GENERAL HOSPITAL",
        "enumeration_date": "2006-12-01",
        "last_updated": "2014-04-03",
        "status": "A",
        "authorized_official_last_name": "GRIESS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-762-6660"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NE",
            "license": "ESRD024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, NE

Sources for this page

Verify at the official NPI Registry.