Organization Active NPI

Franciscan Care Services Inc

  • Rural Health Clinic/Center
  • Wisner, NE
National Provider Identifier
1023022951
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FRANCISCAN CARE SERVICES INC
Practice address
2100 21St Cir
Ste a
Wisner, NE 68791-2045
Phone
(402) 529-6516
Fax
(402) 529-6530
NPI assigned
Jul 28, 2006
Organization subpart
Yes
Parent organization
FRANCISCAN CARE SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Authorized official

Name
Mr. Tyler J Toline
Title
President & Ceo
Phone
(402) 372-2404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

2100 21St Cir
Ste a
Wisner, NE 68791-2045

Mailing address

430 N Monitor St
West Point, NE 68788-1595
Phone (402) 372-2404

Other identifiers 1

IdentifierTypeStateIssuer
10025190000MedicaidNE

Other names 1

  • FRANCISCAN HEALTHCARE WISNER CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041025000210 NE Part A Provider - Rural Health Clinic 4284624909 Practice locations: Wisner, NE

Rural health clinic certification: CCN 283484

Legal name
FRANCISCAN CARE SERVICES INC
Doing business as
FRANCISCAN HEALTHCARE WISNER CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 1, 2004
Last certification
Nov 19, 2024
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
May 22, 1964 in NE
Enrollment address
2100 21St Cir
Ste a
Wisner, NE 68791-2045
Related CCNs
281322

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

Other NPIs with the same Medicare PAC ID 9

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0912436Franciscan Care Services, Inc2100 21St Circle, Suite a, Wisner, NE 68791Provider-performed microscopyMar 3, 2028

National Provider Directory

National Provider Directory
Tax ID family
St Francis Memorial Clini13 organizations share this tax ID, including this one
Part of
St Francis Memorial Clini

Other organizations with this tax ID 12

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

Locations

2100 21st Cir
Wisner, NE 68791
Phone (402) 529-6516

2100 21st Cir
Ste A
Wisner, NE 68791
Phone (402) 529-6516

Networks

  • devoted network organization-4d06b5ed-aefa-4033-b81c-2adf126fd114

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Anastasia M Stokely Individual W-2 Managing EmployeeClinic Manager Nov 16, 2015
Operational/Managerial ControlClinic Manager Nov 16, 2015
Alisa a Brunsing Individual W-2 Managing EmployeeCfo Jan 1, 2019
Operational/Managerial ControlCfo Jan 1, 2019
Patricia Linssen Individual Corporate Director Aug 28, 2018
William Kreikemeier Individual Corporate Officer Apr 26, 2022
Corporate Director Jan 1, 2022
Dyann R Bradbury Individual Corporate Director Apr 26, 2022
Rhett J Eckmann Individual W-2 Managing EmployeeMedical Director Nov 1, 2004
Operational/Managerial ControlMedical Director Nov 1, 2004
Franciscan Sisters of Christian Charity Sponsored Ministries Inc Organization, Manitowoc, WI Corporation, Non-profit Operational/Managerial Control May 1, 1995
Scott McConnaha Individual OtherChain Home Office Administrator Jun 23, 2018
Rodney L Giese Individual Corporate Director Apr 26, 2022
Jason R Smith Individual Corporate Officer Apr 26, 2022
Corporate Director May 22, 2018
Holy Family Convent of Franciscan Sisters of Christian Charity Inc Organization, Manitowoc, WI Corporation, Non-profit Operational/Managerial Control May 1, 1995
Brian Reimers Individual Corporate Director Jun 23, 2020
Chester R McWhorter Individual Corporate Officer Jun 23, 2020
Corporate Director May 22, 2018
Allen L Meister Individual Corporate Director Jan 1, 2022
Regina Uhing Individual Corporate Officer Apr 26, 2022
Corporate Director Jun 27, 2017
Tyler J Toline Individual Corporate OfficerPresident & Ceo Feb 24, 2020
Corporate DirectorPresident & Ceo Feb 24, 2020
W-2 Managing EmployeePresident & Ceo Feb 24, 2020
Operational/Managerial ControlPresident & Ceo Feb 24, 2020

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 14

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

View all 14

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1023022951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N MONITOR ST",
            "city": "WEST POINT",
            "state": "NE",
            "postal_code": "687881595",
            "telephone_number": "402-372-2404",
            "fax_number": "402-372-2360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 21ST CIR",
            "address_2": "STE A",
            "city": "WISNER",
            "state": "NE",
            "postal_code": "687912045",
            "telephone_number": "402-529-6516",
            "fax_number": "402-529-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANCISCAN CARE SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FRANCISCAN CARE SERVICES INC",
        "enumeration_date": "2006-07-28",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "TOLINE",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "402-372-2404",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025190000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRANCISCAN HEALTHCARE WISNER CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wisner, NE

Sources for this page

Verify at the official NPI Registry.