NPIMap

Organization Active NPI

Greater Sandhills Family Healthcare, P.C.

  • Rural Health Clinic/Center
  • Stuart, NE
National Provider Identifier
1033318217
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
GREATER SANDHILLS FAMILY HEALTHCARE, P.C.
Practice address
102 W US Highway 20
Stuart, NE 68780-5838
Phone
(402) 924-3777
Fax
(402) 924-3776
NPI assigned
Jul 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Elaine A Tubbs, MBA
Title
Administrator
Phone
(256) 508-7509

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Clinic/Center 261Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

102 W US Highway 20
Stuart, NE 68780-5838

Mailing address

PO Box 377
Stuart, NE 68780-0377
Phone (256) 508-7509

Other identifiers 2

IdentifierTypeStateIssuer
100255358-00MedicaidNE
1025535800MedicaidNE

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070905000702 NE Part A Provider - Rural Health Clinic 4587757661 Practice locations: Stuart, NE
O20070913000630 NE Part B Supplier - Clinic/Group Practice 4587757661 Receives reassigned benefits from 7 practitioners
2 other NPIs on this enrollment
Practice locations: Bassett, NE; Stuart, NE; Atkinson, NE

Rural health clinic certification: CCN 283865

Legal name
GREATER SANDHILLS FAMILY HEALTHCARE PC
Doing business as
STUART
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 1, 2008
Last certification
Oct 24, 2019
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Jun 21, 2007 in NE
Enrollment address
110W 2ND St
Stuart, NE 68780-1701

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Locations

102 W US Highway 20
Stuart, NE 68780
Phone (256) 508-7509

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Elaine Tubbs Individual W-2 Managing EmployeeAdministrator Jul 23, 2007 49%
Operational/Managerial ControlAdministrator Jul 23, 2007 30%
Greater Sandhills Family Healthcare PC Organization, Stuart, NE 5% Or Greater Direct Ownership Interest Jul 14, 2007 100%
John D Tubbs Individual 5% Or Greater Direct Ownership Interest Jul 14, 2007
Corporate OfficerCeo Jul 23, 2007 100%
W-2 Managing EmployeeMD Jul 14, 2007 100%

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Greater Sandhills Family HealthcareAtkinson, NE, CCN 283867 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 14, 2007

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 8

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": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1033318217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 377",
            "city": "STUART",
            "state": "NE",
            "postal_code": "687800377",
            "telephone_number": "256-508-7509",
            "fax_number": "402-924-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W US HIGHWAY 20",
            "city": "STUART",
            "state": "NE",
            "postal_code": "687805838",
            "telephone_number": "402-924-3777",
            "fax_number": "402-924-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER SANDHILLS FAMILY HEALTHCARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "TUBBS",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "256-508-7509",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100255358-00",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025535800",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, NE

Sources for this page

Verify at the official NPI Registry.