NPIMap

Organization Active NPI

Perkins County Hospital District

Doing business as Perkins County Family Clinic

  • Rural Health Clinic/Center
  • Ogallala, NE
National Provider Identifier
1033767967
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PERKINS COUNTY HOSPITAL DISTRICT
Doing business as
Perkins County Family Clinic
Practice address
221 E 10TH St
Ogallala, NE 69153-1425
Phone
(308) 284-8421
NPI assigned
Sep 4, 2019
Last updated
Sep 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Neil Hilton
Title
Ceo
Phone
(308) 352-7245

Specialties & licenses 1

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

Addresses

Primary practice location

221 E 10TH St
Ogallala, NE 69153-1425

Mailing address

900 Lincoln Ave
Grant, NE 69140-3095
Phone (308) 352-7200

Other names 1

  • PERKINS COUNTY FAMILY CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191031002113 NE Part A Provider - Rural Health Clinic 0840109823 Practice locations: Ogallala, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033767967. Details of each certification follow.

Rural health clinic certification: CCN 288555

Legal name
PERKINS COUNTY HOSPITAL DISTRICT
Doing business as
PERKINS COUNTY FAMILY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 26, 2021
Last certification
Jul 17, 2024
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
221 E 10TH St
Ogallala, NE 69153-1425
Related CCNs
281356

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

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Grant Medical Clinic6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/perkcod-b23e0775

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
Brent Gloy Individual Corporate DirectorBoard Member Jul 1, 2024
Perkins County Hospital District Organization, Grant, NE 5% Or Greater Direct Ownership Interest Nov 1, 2019 100%
Operational/Managerial Control Nov 1, 2019 100%
Melissa Wilson Individual Corporate DirectorBoard Member Jul 1, 2022
Brett Franklin Individual Corporate DirectorBoard Member Jul 1, 2024
Amy Glinn Individual W-2 Managing EmployeeRHC Manager Nov 1, 2019
Operational/Managerial ControlRHC Manager Nov 1, 2019
Marcia Shalla Individual Corporate DirectorBoard Member Jul 1, 2022
Neil Hilton Individual Corporate OfficerCeo/President Nov 1, 2019
W-2 Managing Employee Nov 1, 2019
Operational/Managerial Control Nov 1, 2019
Jeff Skeels Individual Corporate DirectorBoard Member Jul 1, 2022

Owners & managing parties with NPI records 4

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

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1033767967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LINCOLN AVE",
            "city": "GRANT",
            "state": "NE",
            "postal_code": "691403095",
            "telephone_number": "308-352-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E 10TH ST",
            "city": "OGALLALA",
            "state": "NE",
            "postal_code": "691531425",
            "telephone_number": "308-284-8421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERKINS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "HILTON",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-352-7245"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERKINS COUNTY FAMILY CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ogallala, NE

Sources for this page

Verify at the official NPI Registry.