NPIMap

Organization Active NPI

Pawnee County Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Pawnee City, NE
National Provider Identifier
1013969252
Registry record updated Jan 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
590001 Issued in NE
Legal business name
PAWNEE COUNTY MEMORIAL HOSPITAL
Practice address
600 I St
Pawnee City, NE 68420-3001
Phone
(402) 852-2231
Fax
(402) 852-2098
NPI assigned
May 16, 2006
Organization subpart
Yes
Parent organization
PAWNEE COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2021

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

Authorized official

Name
Ruth Stephens
Title
Administrator
Phone
(402) 852-2231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 590001 NE Primary

Addresses

Primary practice location

600 I St
Pawnee City, NE 68420-3001

Mailing address

600 I St
Pawnee City, NE 68420-3001
Phone (402) 852-2231

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PAWNEEHOSPITAL@pcmhrhc.cernerdirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071127000492 NE Part A Provider - Critical Access Hospital 8729971270 Practice locations: Pawnee City, NE

Hospital certification: CCN 28Z302

Legal name
PAWNEE COUNTY MEMORIAL HOSPITAL
Organization structure
GovernmentNon-profit
Enrollment address
600 I St
Box 433
Pawnee City, NE 68420-0433

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

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Pawnee County Mem Hospital2 organizations share this tax ID, including this one
Part of
Pawnee County Mem Hospital

Other organizations with this tax ID 1

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/SjBKUOzn0fvamYJNg6kz0qALjGnkLLd4/

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
CHI Nebraska Organization, Omaha, NE Non-profit Operational/Managerial Control Jul 1, 2016 100%
Gary Farwell Individual Corporate OfficerBoard Member Jul 1, 2008 34%
David L. Fast Individual Corporate DirectorClinic Director May 30, 2021
W-2 Managing EmployeeClinic Director May 30, 2021
John W Werner Individual Contracted Managing EmployeeCeo Oct 18, 2021
Carol Schaardt Individual Corporate OfficerBoard Member Feb 1, 2016 33%
James a Kubik Individual Corporate OfficerBoard Member Feb 1, 2016 33%

Facilities with the same owner 38

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

View all 38

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

Affiliated clinicians 2

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": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609891200000",
    "number": "1013969252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 I ST",
            "city": "PAWNEE CITY",
            "state": "NE",
            "postal_code": "684203001",
            "telephone_number": "402-852-2231",
            "fax_number": "402-852-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 I ST",
            "city": "PAWNEE CITY",
            "state": "NE",
            "postal_code": "684203001",
            "telephone_number": "402-852-2231",
            "fax_number": "402-852-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAWNEE COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAWNEE COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2006-05-16",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-852-2231"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NE",
            "license": "590001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PAWNEEHOSPITAL@pcmhrhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Pawnee County Memorial Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "600 I St",
            "city": "Pawnee City",
            "state": "NE",
            "country_code": "US",
            "postal_code": "684203001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pawnee City, NE

Sources for this page

Verify at the official NPI Registry.