NPIMap

Organization Active NPI

Boone County Health Center

  • Medicare Defined Swing Bed Hospital Unit
  • Albion, NE
National Provider Identifier
1023043270
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
030001 Issued in NE
Legal business name
BOONE COUNTY HEALTH CENTER
Practice address
723 W Fairview St.
Albion, NE 68620-1767
Phone
(402) 395-2191
Fax
(402) 395-3173
NPI assigned
Jul 12, 2006
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BOONE COUNTY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Caleb K Poore
Title
Ceo
Phone
(402) 395-3213

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 030001 NE Primary
Critical Access Hospital 282NC0060X 030001 NE

Addresses

Primary practice location

723 W Fairview St.
Albion, NE 68620-1767

Mailing address

PO Box 151
Albion, NE 68620-0151
Phone (402) 395-3213

Other identifiers 1

IdentifierTypeStateIssuer
00101OtherNEBCBS OF NEBRASKA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BCHCHOSPITAL@boonecohealth.cernerdirect.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111114000032 NE Part A Provider - Critical Access Hospital 1254306178 Practice locations: Albion, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1023043270. Details of each certification follow.

Hospital certification: CCN 28Z334

Legal name
BOONE COUNTY HEALTH CENTER
Doing business as
BOONE COUNTY HEALTH CENTER
Organization structure
OtherNon-profit
Enrollment address
723 W Fairview St
Albion, NE 68620-1767
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 8

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

National Provider Directory

National Provider Directory
Tax ID family
Oxygen Services11 organizations share this tax ID, including this one
Part of
Oxygen Services

Other organizations with this tax ID 10

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/2f32da6e-80b8-497f-843c-a19a93e136d5/

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Tony Kurtenbach Individual Corporate Director Jul 1, 2019
Dana J Cox Individual Corporate Officer Aug 2, 2024
Corporate Director Jul 1, 2024
Caleb Poore Individual Corporate OfficerCeo Oct 16, 2023
W-2 Managing EmployeeCeo Oct 16, 2023
Operational/Managerial ControlCeo Oct 16, 2023
Kim Beierman Individual Corporate Officer Oct 26, 2021
Corporate Director Jul 1, 2015
Paul Groeteke Individual Corporate Officer Oct 25, 2016
Corporate Director Jul 1, 2015
Gary Stokes Individual Corporate Director Jul 1, 2025
Anthony P Kusek Individual W-2 Managing EmployeeChief of Staff Oct 1, 2012
Operational/Managerial ControlChief of Staff Oct 1, 2012
Rita a Liss Individual W-2 Managing EmployeeCfo Jul 1, 2017
Operational/Managerial ControlCfo Jul 1, 2017

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 5

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1023043270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "ALBION",
            "state": "NE",
            "postal_code": "686200151",
            "telephone_number": "402-395-3213",
            "fax_number": "402-395-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 W FAIRVIEW ST.",
            "city": "ALBION",
            "state": "NE",
            "postal_code": "686201767",
            "telephone_number": "402-395-2191",
            "fax_number": "402-395-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOONE COUNTY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOONE COUNTY HEALTH CENTER",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "POORE",
        "authorized_official_first_name": "CALEB",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-395-3213"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NE",
            "license": "030001",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NE",
            "license": "030001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA",
            "identifier": "00101",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BCHCHOSPITAL@boonecohealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "723 W Fairview St",
            "city": "Albion",
            "state": "NE",
            "country_code": "US",
            "postal_code": "686201725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albion, NE

Sources for this page

Verify at the official NPI Registry.