REGIONAL WEST MEDICAL CENTER (NPI# 1346253259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346253259 |
| Entity Type | Organization |
| Organization Name | REGIONAL WEST MEDICAL CENTER |
| Other Organization Name | DORWART CANCER CARE CENTER |
| Practice Address |
830 Pine St Sidney NE 69162-2284 |
| Mailing Address |
4021 Avenue B Scottsbluff NE 69361-4602 |
| Practice Telephone | 3082549192 |
| Practice Fax Number | 3082549750 |
| Mailing Telephone | 3086301469 |
| Mailing Fax Number | 3086301815 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2016-11-22 |
| Authorized Official Name | MR. MICHAEL F. ICKOWSKI (VICE PRESIDENT / CFO) |
| Authorized Official Telephone | 3086301111 |
| Is Organization Subpart | Y |
| Parent Organization Name | REGIONAL WEST MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dorwart Cancer Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982094348 | Regional West Medical Center | Clinical Medical Laboratory | 3502 Metro Dr Ste 200, Council Bluffs, IA 51501-7724 | 2015-01-23 |
| 1598055022 | Regional West Medical Center | Clinical Medical Laboratory | 17030 Lakeside Hills Plz Ste 104, Omaha, NE 68130-2396 | 2011-04-18 |
| 1174988448 | Regional West Medical Center | Clinical Medical Laboratory | 305 N 37th St, Norfolk, NE 68701-3275 | 2015-12-30 |
| 1295155745 | Regional West Medical Center | Hospice Care, Community Based | 3701 Avenue D, Suite 2204, Scottsbluff, NE 69361-4771 | 2014-04-23 |
| 1699198259 | Regional West Medical Center | Clinical Medical Laboratory | 2540 N Ave, Denison, IA 51442-7584 | 2014-01-31 |
| 1851730980 | Regional West Medical Center | Clinical Medical Laboratory | 1202 Cleveland Ave, Cheyenne, WY 82001-6700 | 2013-06-21 |
| 1588916753 | Regional West Medical Center | Clinical Medical Laboratory | 101 2nd St, Ida Grove, IA 51445-1401 | 2012-10-11 |
| 1194027953 | Regional West Medical Center | Clinical Medical Laboratory | 1331 Prairie Ave, Cheyenne, WY 82009-4867 | 2010-11-30 |
| 1528360385 | Regional West Medical Center | Clinical Medical Laboratory | 940 E 3rd St, Suite 103, Casper, WY 82601-3200 | 2010-11-30 |
| 1427350289 | Regional West Medical Center | Clinical Medical Laboratory | 3016 W Faidley Ave, Grand Island, NE 68803-4109 | 2010-11-30 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | REGIONAL WEST MEDICAL CENTER | 4021 Ave B, Scottsbluff, NE 69361-4602 |
| Street Address |
830 PINE ST |
| City | SIDNEY |
| State | NE |
| Zip Code | 69162-2284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336564566 | Kyle Alan Brown | Physician Assistant | 830 Pine St, Sidney, NE 69162-2284 | 2014-02-25 |
| 1770616658 | Regional Radiation Oncology Care, PC | Radiology | 830 Pine St, Sidney, NE 69162-2284 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992192207 | Sheila Howard | Counselor | 1516 1/2 10th Ave, Sidney, NE 69162 | 2015-04-24 |
| 1801027479 | James Allen Grosshans | Nurse Anesthetist, Certified Registered | 645 Osage, Memorial Health Center, Sidney, NE 69162 | 2009-07-30 |
| 1386704252 | Nancy Kay Bradford | Counselor | 1023 10th Avenue, Sidney, NE 69162 | 2006-12-11 |
| 1861585200 | Western Drug Co | Durable Medical Equipment & Medical Supplies | 806 Illinios, Sidney, NE 69162 | 2006-09-30 |
| 1518070507 | David J Peckham | Dentist | 1133 Jackson, Sidney, NE 69162 | 2006-08-16 |
| 1578571527 | Carl John Cornelius Jr. | Family Medicine | 1116 10th Avenue, Sidney, NE 69162 | 2006-08-04 |
| 1336529247 | Sara M Sholar | Family Medicine | 1000 Pole Creek Xing, Sidney, NE 69162 | 2015-06-05 |
| 1992130751 | Kristen E Rose | Counselor | 1000 Pole Creek Crossing, Sidney, NE 69162 | 2013-09-11 |
| 1366504367 | Debra Jean Loveless | Counselor | 1023 10th Avenue, Sidney, NE 69162 | 2006-12-15 |
| 1467488726 | Steven A Rolls | Physician Assistant | 1000 Pole Creek Xing, Sidney, NE 69162 | 2006-06-25 |
| Find all providers in zip 69162 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174674691 | Pine Lake Intensity-modulated | Clinic/Center | 3901 Pine Lake Rd, Suite 111, Lincoln, NE 68516-5497 | 2007-01-12 |
Please comment or provide details below to improve the information on REGIONAL WEST MEDICAL CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.