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

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities connected through Provider of Services related, parent or unit certification numbers.

Practitioners 56

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 56

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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
Hospital Swing-Bed Unit

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jill E Eberspacher
Individual
Corporate Director Jan 29, 2021
Roger Reamer
Individual
Corporate Officer
Ceo
Jun 25, 2014
W-2 Managing Employee
Ceo
Jun 15, 2000
Operational/Managerial Control
Ceo
Jun 15, 2000
Lana R Daws
Individual
Corporate Director Jan 19, 2018
Michael E Tomes
Individual
Corporate Officer Jan 29, 2021
Corporate Director Jan 19, 2018
Joel D Gabriel
Individual
W-2 Managing Employee
Chief of Staff
Jan 1, 2024
Operational/Managerial Control
Chief of Staff
Jan 1, 2024
Gregory Jerger
Individual
Corporate Officer
Cfo
Jun 25, 2014
W-2 Managing Employee
Cfo
Aug 27, 1992
Operational/Managerial Control
Cfo
Aug 27, 1992
Michael E Hecker
Individual
Corporate Officer Jan 19, 2018
Corporate Director Jan 27, 2017
Kevin W Wingard
Individual
Corporate Director Jan 18, 2019
Bradley Perdue
Individual
Corporate Director Feb 22, 2023
Donna L Havener
Individual
Corporate Officer Apr 27, 2022
Corporate Director Jan 29, 2021

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00502OtherNESWING-BED (BCBS OF NE)

Other names

  • Memorial Hospital Doing business as

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address mhcsseward@mhcs.medalliesdirect.net

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 21, 2021.

{
    "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

All providers in Seward, NE · Medicare Defined Swing Bed Hospital Unit in Nebraska

Sources for this page

Verify at the official NPI Registry.