Provider Demographics
NPI:1447874581
Name:ROCK COUNTY HOSPITAL
Entity type:Organization
Organization Name:ROCK COUNTY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:RHIT
Authorized Official - Phone:402-684-3366
Mailing Address - Street 1:102 E. SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:BASSETT
Mailing Address - State:NE
Mailing Address - Zip Code:68714-5512
Mailing Address - Country:US
Mailing Address - Phone:402-684-3366
Mailing Address - Fax:402-684-2612
Practice Address - Street 1:102 E. SOUTH ST
Practice Address - Street 2:
Practice Address - City:BASSETT
Practice Address - State:NE
Practice Address - Zip Code:68714-5512
Practice Address - Country:US
Practice Address - Phone:402-684-3366
Practice Address - Fax:402-684-2612
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROCK COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-04
Last Update Date:2020-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE28D0455570OtherCLINICAL LABORATORY IMPROVEMENT AMENDMENTS
NE28D0455570OtherCLIA