NPIMap

Organization Active NPI

Cherry County Hospital

Doing business as Cherry County Clinic

  • Rural Health Clinic/Center
  • Valentine, NE
National Provider Identifier
1033218037
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CHERRY COUNTY HOSPITAL
Doing business as
Cherry County Clinic
Practice address
512 North Green St
Valentine, NE 69201-1982
Phone
(402) 376-3770
Fax
(402) 376-3779
NPI assigned
Sep 22, 2006
Last updated
Apr 24, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CHERRY COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
James C Bargen
Title
Ceo
Phone
(402) 376-2525

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Physician Assistant 363A00000X NU
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

512 North Green St
Valentine, NE 69201-1982

Mailing address

510 N Green St
Valentine, NE 69201-1932
Phone (402) 376-2525

Other identifiers 4

IdentifierTypeStateIssuer
10024984900MedicaidNE
10025198500MedicaidNE
346235000MedicaidNE
5340250MedicaidSD

Other names 1

  • Cherry County Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040505000487 NE Part B Supplier - Clinic/Group Practice 5698686012 Receives reassigned benefits from 32 practitioners
1 other NPI on this enrollment
Practice locations: Bassett, NE; Valentine, NE
O20040902001207 NE Part A Provider - Rural Health Clinic 5698686012 Practice locations: Valentine, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033218037. Details of each certification follow.

Rural health clinic certification: CCN 283477

Legal name
CHERRY COUNTY HOSPITAL
Doing business as
CHERRY COUNTY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 1, 2004
Last certification
Jul 29, 2021
Ownership / control type
2B
Organization structure
OtherNon-profit
Enrollment address
512 N Green St
Valentine, NE 69201-1982
Related CCNs
281344

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

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Cherry County Hospital

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Roger W Dunn Individual Corporate Officer Jan 29, 2014
Corporate Director Aug 1, 1997
Sarah M Danielski Individual W-2 Managing EmployeeAd;Clinic Manager May 20, 2024
Operational/Managerial ControlClinic Manager May 20, 2024
James Bargen Individual Corporate OfficerCeo May 1, 2024
W-2 Managing EmployeeCeo May 1, 2024
Operational/Managerial ControlCeo May 1, 2024
Stephanie L Jacobsen Individual Contracted Managing EmployeeCfo Oct 9, 2023
Operational/Managerial ControlCfo Oct 9, 2023
Kelli L Scheer Individual W-2 Managing EmployeeMD; Aug 1, 2018
Operational/Managerial ControlMedical Director Aug 1, 2018
Warren Arganbright Individual Corporate Director Jun 1, 2023
Gregg Perrett Individual Corporate Officer Jan 29, 2024
Corporate Director Jul 1, 2023
James Vanwinkle Individual Corporate Director Jul 1, 2023
Mark Burchfield Individual Corporate Director Aug 1, 2023
Sheila K Wheeler Individual Corporate Officer Jan 29, 2019
Corporate Director Jul 31, 2013
Deanna R Scott Individual Corporate Director Apr 1, 2021

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cherry County HospitalValentine, NE, CCN 281344 Hospital Operational/Managerial Control (100%) Apr 1, 2001
Cherry County HospitalValentine, NE, CCN 28Z344 Hospital Operational/Managerial Control (100%) Apr 1, 2001

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 35

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 35

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1033218037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N GREEN ST",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692011932",
            "telephone_number": "402-376-2525",
            "fax_number": "402-376-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 NORTH GREEN ST",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692011982",
            "telephone_number": "402-376-3770",
            "fax_number": "402-376-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHERRY COUNTY HOSPITAL",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "BARGEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-376-2525"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024984900",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025198500",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346235000",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5340250",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherry County Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cherry County Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valentine, NE

Sources for this page

Verify at the official NPI Registry.