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O'Neill, Nebraska

O’Neill is located in the sand hill region of North Central Nebraska and has been the county seat of Holt County since 1877.  U.S. Highways 281, 20 and 275 serve the community.  O’Neill is 122 miles west of Sioux City, Iowa and 187 miles northwest of Omaha, Nebraska.  O’Neill is the largest community in North Central Nebraska. Approximately 20,500 people reside in O’Neill and the surrounding counties utilizing its many services.  The population of O’Neill is 3,852 and Holt County is 12,163.  Basic economic activities include ranching, potato and grain farming, government, tourism and retail sales.

O’Neill is nestled amid the rolling bluffs of the Niobrara and Missouri rivers, the famous sand hills of Central Nebraska which provide fragrant pine forests, and vast prairies and grasslands.  The area provides an endless variety, from historic sites like the Ashfall Fossil Beds, where fossilized remains of mammals who died after massive volcanic eruption 10 million years ago, to outdoor recreation areas.  There are excellent opportunities for boating, fishing, camping and hiking.  Both residents and visitors alike find a place to explore in this timeless region.

The community is served by the Northeastern Community College; two High Schools, O’Neill Public School and St. Mary’s High School; three Elementary Schools, O’Neill Grade School, St. Mary’s Elementary and Word of Life Christian Center.

Visit the following websites for more information:   


Main Contact Information

Main Hospital Number:

(605) 668-8000

Majestic Bluffs:

(605) 668-8900

Cancer Center:

(605) 668-8850

Wellness Center:

(605) 668-8357