Cambridge Memorial Hospital Inc
Organization Active NPI Rural Health Clinic/Center · Arapahoe, NE
NPI 1053408583 · NPPES record last updated Mar 2, 2015
Key facts
- NPI
- 1053408583
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- CAMBRIDGE MEMORIAL HOSPITAL INC
- Practice address
- 305 Nebraska Avenue
Arapahoe, NE 68922 - Phone
- (308) 697-1419
- Fax
- (308) 697-4176
- NPI assigned
- Oct 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Deborah Herzberg
- Title
- Ceo
- Phone
- (308) 697-3329
Other NPIs with the same Medicare PAC ID 5
Related certifications (CCN) 1
Practitioners 28
-
Ashley Ambrosek, FNP-BC, FNP-C
-
Yi An, MD
-
Nicole Buettner, PA-C
-
Russell Carlston, D.P.M
-
Jordan J Grooms, PA-C
-
Candice Jo Haddon, APRN
-
Angela L Howard, APRN
-
Shiuvaun M. Jaeger, M.D.
-
Karinne Kulwicki, PA
-
Avery Mason, DPM
-
J Paul Meyer, MD
-
Cherl Mues, NP
-
Tamara L. Robbins, M.D.
-
Shane Michael Smith, M.D.
-
Victoria Nicole Viox, PA-C
-
Chris E Wilkinson, M.D.
-
Randall Allen Carter, PA-C
-
Jeffrey W Cloud, MD
-
Udo G Foreman, PA-C
-
Jennifer Anne Gros, PA-C
-
Anthony James Guglielmo, FNP-BC
-
Faraaz Ali Osmani, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D0456118 | Arapahoe Medical Clinic | Certificate of waiver | May 31, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Rural health clinic certification: CCN 283976
- Legal name
- CAMBRIDGE MEMORIAL HOSPITAL INC
- Doing business as
- ARAPAHOE MEDICAL CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- May 31, 1990
- Last certification
- Dec 9, 2020
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 305 Nebraska Ave
Arapahoe, NE 68922-2839 - Related CCNs
- 281348
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Lavern Banzhaf |
Corporate Director |
Oct 1, 2018 | |
| Clay M Jordan |
Corporate Officer |
Nov 29, 2023 | |
| Julie Schultz |
W-2 Managing Employee |
Oct 7, 2002 | |
| Bethany M Marintzer |
Corporate Officer |
Aug 18, 2025 | |
| James McGowen |
Corporate Director |
Oct 31, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061115000342 | NE | Part a Provider - Rural Health Clinic | 2466346077 | Practice locations: Arapahoe, NE |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | NE | Yes |
Addresses
Primary practice location
305 Nebraska Avenue
Arapahoe, NE 68922
Mailing address
PO Box 488
Cambridge, NE 69022
Phone (308) 697-1526
Other names
- Arapahoe Medical Clinic
Other providers in Arapahoe, NE
- Cathy V Bowers
- Ciera Rose Cappel
- City of Arapahoe
- Brett Addison Cribelli
- Furnas County School District #33-0018
- Corinna Horkey
All providers in Arapahoe, NE · Rural Health Clinic/Center in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2015. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.