NPIMap

Organization Active NPI

Saunders Medical Center

  • Skilled Nursing Facility
  • Wahoo, NE
National Provider Identifier
1013364678
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
LTCH035 Issued in NE
Legal business name
SAUNDERS MEDICAL CENTER
Practice address
1760 County Road J
Wahoo, NE 68066-4152
Phone
(402) 443-4685
Fax
(402) 443-1400
NPI assigned
May 24, 2016
Last updated
Feb 4, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
SAUNDERS MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julie Rezac
Title
Interim Chief Executive Officer
Phone
(402) 443-4191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X LTCH035 NE Primary

Addresses

Primary practice location

1760 County Road J
Wahoo, NE 68066-4152

Mailing address

1760 County Road J
Wahoo, NE 68066-4152
Phone (402) 443-4191

Other names 1

  • Saunders Medical Center LTC Skilled Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160825000303 NE Part A Provider - Skilled Nursing Facility 2567371784 Practice locations: Wahoo, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013364678. Details of each certification follow.

Skilled nursing facility certification: CCN 285296

Legal name
SAUNDERS MEDICAL CENTER
Doing business as
SAUNDERS MEDICAL CENTER LTC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 8, 2016
Last certification
Oct 21, 2024
Beds
60
Ownership / control type
County
Organization structure
GovernmentNon-profit
Enrollment address
1760 County Road J
Wahoo, NE 68066-4152
Nursing home name
SAUNDERS MEDICAL CENTER

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Nursing home

Medicare Care Compare
Listed as
Saunders Medical CenterCCN 285296 · All quality measures
Overall star rating
4 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Sep 8, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6056.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Saunders County Health de6 organizations share this tax ID, including this one
Part of
Saunders County Health de

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/06e9d567-9657-447f-97fb-d967654387e7/

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Individual Adp of the SNF Feb 2, 2015
Individual Trustee of the SNF Nov 6, 2017
Organization, Fargo, ND Consulting firm, For-profit Adp of the SNF Oct 10, 2025
Julie Rezac Individual Operational/Managerial Control Feb 8, 2020
Adp of the SNF Feb 8, 2020
Bryan Health Organization, Linclon, NE Corporation, Non-profit Operational/Managerial Control Jan 1, 2015
Adp of the SNF Oct 10, 2025
Individual Trustee of the SNF Aug 10, 2021
Individual Trustee of the SNF Jul 1, 2018
Andrew P Opp Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
Individual Trustee of the SNF Jul 7, 2015
Individual Trustee of the SNF Jul 7, 2015
Individual Adp of the SNF Jan 8, 2025
Saunders County Organization, Wahoo, NE 5% Or Greater Direct Ownership Interest Jan 1, 1975 100%
Adp of the SNF Oct 1, 2005
Individual Trustee of the SNF Aug 25, 2009
Individual Trustee of the SNF Apr 2, 2013

Owners & managing parties with NPI records 1

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

Facilities with the same owner 17

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 17

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 50

Affiliated clinicians 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1013364678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 COUNTY ROAD J",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680664152",
            "telephone_number": "402-443-4191",
            "fax_number": "402-443-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 COUNTY ROAD J",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680664152",
            "telephone_number": "402-443-4685",
            "fax_number": "402-443-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUNDERS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAUNDERS MEDICAL CENTER",
        "enumeration_date": "2016-05-24",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "REZAC",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "INTERIM CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "402-443-4191"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "LTCH035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saunders Medical Center LTC Skilled",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Saunders Medical Center LTC Skilled",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wahoo, NE

Sources for this page

Verify at the official NPI Registry.