NPIMap

Organization Active NPI

Box Butte General Hospital

  • Critical Access Hospital Clinic/Center
  • Alliance, NE
National Provider Identifier
1346309929
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
License
040001 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 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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
Critical Access Hospital Clinic/Center 261QC0050X 040001 NE Primary

Addresses

Primary practice location

2101 Box Butte Ave
Alliance, NE 69301-4445

Mailing address

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

Other identifiers 5

IdentifierTypeStateIssuer
C01692OtherRR MEDICARE PROF FEES
08610OtherNENEBR BCBS CRNA
81090OtherNENEBR BCBS CERT DIAB ED
10025332400MedicaidNE
03495OtherNENEBR BCBS PROF FEES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031218000378 NE Part B Supplier - Clinic/Group Practice 9638089584 Receives reassigned benefits from 112 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alliance, NE; Hemingford, NE; Hyannis, NE

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2091 Box Butte Ave
Ste 700
Alliance, NE 69301
Phone (308) 762-7244

Practitioners & affiliated clinicians

Practitioners 103

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.

View all 103

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346309929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "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": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "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": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "NE",
            "license": "040001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PROF FEES",
            "identifier": "C01692",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBR BCBS CRNA",
            "identifier": "08610",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBR BCBS CERT DIAB ED",
            "identifier": "81090",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025332400",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEBR BCBS PROF FEES",
            "identifier": "03495",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.