Chase County Community Hospital
Organization Active NPI Family Medicine Physician · Imperial, NE
NPI 1033277751 · NPPES record last updated Sep 10, 2025
Key facts
- NPI
- 1033277751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CHASE COUNTY COMMUNITY HOSPITAL
- Practice address
- 600 W 12TH St
Imperial, NE 69033-3131 - Phone
- (308) 882-7111
- Fax
- (308) 882-7317
- NPI assigned
- Dec 5, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- CHASE COUNTY COMMUNITY HOSPITAL
Authorized official
- Name
- Mr. Melvin G McNea
- Title
- Interim Ceo
- Phone
- (308) 882-7291
Parent organization (reported in NPPES) 1
Other NPIs with the same Medicare PAC ID 4
Practitioners 20
-
Yi An, MD
-
Timothy L. Brininger, M.D.
-
Allyson Mara Jablonski, DNP, APRN-NP, FNP-BC
-
Jamie Renae Kuper, APRN
-
Timothy R Muratore, M.D.
-
Kerri Mae Forcella, PA-C
-
Jodi E. Spady, PA-C
-
Udo G Foreman, PA-C
-
Jenna A Hilker, ARNP
-
Avery Mason, DPM
-
Richard James Raska, DPM
-
Joshua H Wray, DPM
-
Lynne Ann Holz, M.D.
-
Rolf Edward Kirby, M.D.
-
Matthew P Rutman, MD
-
Paul M. Grow, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040923000877 | NE | Part B Supplier - Clinic/Group Practice | 2567436736 |
Receives reassigned benefits from 19 practitioners Practice locations: Imperial, NE |
National Provider Directory
- Part of
- Chase County Comm Hospital
Locations
427 W Legion
Wauneta, NE 69045
Phone (308) 394-5738
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/e699c25a-4b9f-4771-9576-e790a1116e0f/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes | ||
| Hematology & Oncology Physician |
207RH0003X | |||
| Pediatrics Physician |
208000000X | |||
| Surgery Physician |
208600000X | |||
| Physician Assistant |
363A00000X |
Addresses
Primary practice location
600 W 12TH St
Imperial, NE 69033-3131
Mailing address
PO Box 819
Imperial, NE 69033-0819
Phone (308) 882-7111
Other names
- Chase County Professional Services
Other providers in Imperial, NE
- Adams Drug Inc.
- Yi An
- Timothy L. Brininger
- Deaun Carpenter
- Chase County Community Hospital
- Chase County Community Hospital
- Chase County Community Hospital
- Chase County Schools
- Kathryn J Christensen
All providers in Imperial, NE · Family Medicine Physician in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.