Memorial Health Care Systems
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Seward, NE
NPI 1013087089 · NPPES record last updated Jan 21, 2021
Key facts
- NPI
- 1013087089
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 720001 (NE)
- Legal business name
- MEMORIAL HEALTH CARE SYSTEMS
- Practice address
- 300 N Columbia Ave
Seward, NE 68434-2299 - Phone
- (402) 643-2971
- Fax
- (402) 646-4605
- NPI assigned
- Nov 8, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- MEMORIAL HEALTH CARE SYSTEMS
Authorized official
- Name
- Mr. Gregory E. Jerger
- Title
- Cfo
- Phone
- (402) 646-4628
Owners & managing parties with NPI records 1
-
Joel Douglas Gabriel, M.D.
Other NPIs with the same Medicare PAC ID 5
Related certifications (CCN) 1
Practitioners 56
-
Cason Terryl Bock, PA C
-
Jason S Brooks, PA-C
-
Eldridge G Burns Jr., M.D.
-
Corinn Renee Cook, PA-C
-
Amy K. Fischer, PA-C
-
Joel Douglas Gabriel, M.D.
-
Leah J Hays, PA-C
-
Brandon Jay Henley, D.O.
-
Jacqueline L Hobbs, M.D.
-
Jared B Ketner, M.D.
-
Logan McGuffey, MD
-
Connie J Novak, M.D.
-
James A Plasek, M.D.
-
Trisha Marie Sams, M.D.
-
Jonathan L. Spencer, M.D.
-
John J Summa, M.D.
-
Jonathan Wood, MD
-
Heidi M Zywiec, PA-C
-
Daniel Alekyan, DO
-
Naganna Channaveeraiah, M.D, MBA, CPE
-
Vanessa Kay Cook, M.D.
-
David M Dupy, M.D.
Affiliated clinicians 8
-
Joel Douglas Gabriel, M.D.
-
Brandon Jay Henley, D.O.
-
Jacqueline L Hobbs, M.D.
-
Jared B Ketner, M.D.
-
Connie J Novak, M.D.
-
James A Plasek, M.D.
-
Trisha Marie Sams, M.D.
-
John J Summa, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Hospital certification: CCN 28Z339
- Legal name
- MEMORIAL HEALTH CARE SYSTEMS
- Doing business as
- MEMORIAL HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 9, 1947 in NE
- Enrollment address
- 300 N Columbia Ave
Seward, NE 68434-2299
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Jill E Eberspacher |
Corporate Director | Jan 29, 2021 | |
| Roger Reamer |
Corporate Officer |
Jun 25, 2014 | |
| W-2 Managing Employee |
Jun 15, 2000 | ||
| Operational/Managerial Control |
Jun 15, 2000 | ||
| Lana R Daws |
Corporate Director | Jan 19, 2018 | |
| Michael E Tomes |
Corporate Officer | Jan 29, 2021 | |
| Corporate Director | Jan 19, 2018 | ||
| Joel D Gabriel |
W-2 Managing Employee |
Jan 1, 2024 | |
| Operational/Managerial Control |
Jan 1, 2024 | ||
| Gregory Jerger |
Corporate Officer |
Jun 25, 2014 | |
| W-2 Managing Employee |
Aug 27, 1992 | ||
| Operational/Managerial Control |
Aug 27, 1992 | ||
| Michael E Hecker |
Corporate Officer | Jan 19, 2018 | |
| Corporate Director | Jan 27, 2017 | ||
| Kevin W Wingard |
Corporate Director | Jan 18, 2019 | |
| Bradley Perdue |
Corporate Director | Feb 22, 2023 | |
| Donna L Havener |
Corporate Officer | Apr 27, 2022 | |
| Corporate Director | Jan 29, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140213000011 | NE | Part a Provider - Critical Access Hospital | 3274528989 | Practice locations: Seward, NE |
National Provider Directory
- Part of
- Memorial Clinic
Locations
250 N Columbia Ave
Lowr
Seward, NE 68434
Phone (402) 646-4611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 720001 | NE | Yes |
| Critical Access Hospital | 282NC0060X | 720001 | NE |
Addresses
Primary practice location
300 N Columbia Ave
Seward, NE 68434-2299
Mailing address
300 N Columbia Ave
Seward, NE 68434-2299
Phone (402) 646-4628
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00502 | Other | NE | SWING-BED (BCBS OF NE) |
Other names
- Memorial Hospital
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mhcsseward@mhcs.medalliesdirect.net |
NPI Registry JSON
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1611187200000",
"number": "1013087089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N COLUMBIA AVE",
"city": "SEWARD",
"state": "NE",
"postal_code": "684342299",
"telephone_number": "402-646-4628",
"fax_number": "402-646-4605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N COLUMBIA AVE",
"city": "SEWARD",
"state": "NE",
"postal_code": "684342299",
"telephone_number": "402-643-2971",
"fax_number": "402-646-4605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL HEALTH CARE SYSTEMS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEMORIAL HEALTH CARE SYSTEMS",
"enumeration_date": "2006-11-08",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A",
"authorized_official_last_name": "JERGER",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "402-646-4628",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "275N00000X",
"taxonomy_group": "",
"desc": "Medicare Defined Swing Bed Unit",
"state": "NE",
"license": "720001",
"primary": true
},
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "NE",
"license": "720001",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SWING-BED (BCBS OF NE)",
"identifier": "00502",
"state": "NE"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mhcsseward@mhcs.medalliesdirect.net",
"affiliation": "N",
"address_1": "300 N Columbia Ave",
"city": "Seward",
"state": "NE",
"country_code": "US",
"postal_code": "684342299",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Memorial Hospital",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Memorial Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Seward, NE
- Jillenne S McAdam
- Jonathan Robert McClung
- Nikki McGill
- Janice Meehl
- Sarah Marie Melendez Chipman
- Memorial Health Care Systems
- Memorial Health Care Systems
- Memorial Health Care Systems
- Memorial Health Care Systems
- Memorial Health Care Systems
All providers in Seward, NE · Medicare Defined Swing Bed Hospital Unit in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2021. 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.