Box Butte General Hospital
Organization Active NPI Clinic/Center · Alliance, NE
NPI 1871652453 · NPPES record last updated Nov 11, 2011
Key facts
- NPI
- 1871652453
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- BOX BUTTE GENERAL HOSPITAL
- Practice address
- 2091 Box Butte Ave
Alliance, NE 69301-4452 - Phone
- (308) 762-7244
- Fax
- (308) 762-6657
- NPI assigned
- Dec 8, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- BOX BUTTE GENERAL HOSPITAL
Authorized official
- Name
- Daniel W Griess
- Title
- Ceo
- Phone
- (308) 762-6660
Owned or controlled facilities with NPI records 1
Other NPIs on the same Medicare enrollment 3
Other NPIs with the same Medicare PAC ID 6
Practitioners 134
-
Ryan Banks, M.D.
-
Brittney M Bauer, PA-C
-
Ross Andrew Beavers, CRNA
-
Bridget Brodecky, A.P.R.N.
-
Sally Beth Bryner, MSN, PRN,FNP-BD,CLC
-
Mark Y Chu, M.D.
-
Manda Lynne Clarke, APRN
-
Timothy J Friedlein, M.D.
-
Tiffany Lynn Gies, APRN/FNP-C
-
Taylor Glesinger, PA-C
-
Jason James, DO
-
Angela Marie Krafka, AG-ACNP
-
Jason Latowsky, M.D.
-
Jerre M. Mount, PA-C
-
Terri L Myers, M.D.
-
Radu Florin Neamu, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Box Butte General Hospital |
Hospital | Other (100%) | Oct 1, 1976 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031218000378 | NE | Part B Supplier - Clinic/Group Practice | 9638089584 |
Receives reassigned benefits from 112 practitioners 3 other NPIs on this enrollment Practice locations: Alliance, NE; Hemingford, NE; Hyannis, NE |
National Provider Directory
- Part of
- J B Wallace MD
Locations
2101 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-6660
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
2091 Box Butte Ave
Alliance, NE 69301-4452
Mailing address
PO Box 810
Alliance, NE 69301-0810
Phone (308) 762-6660
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025695200 | Medicaid | NE | |
| 10025028100 | Medicaid | NE | |
| 10025695300 | Medicaid | NE | |
| 10025695400 | Medicaid | NE |
Other names
- Greater Nebraska Medical & Surgical Services - Alliance
Other providers in Alliance, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.