NPIMap

Organization Active NPI

Warren Memorial Hospital

Doing business as Warren Memorial PRO FEES

  • Rural Acute Care Hospital
  • Friend, NE
National Provider Identifier
1063595486
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
Legal business name
WARREN MEMORIAL HOSPITAL
Doing business as
Warren Memorial PRO FEES
Practice address
905 2ND St
Friend, NE 68359-1133
Phone
(402) 947-2541
Fax
(402) 947-2811
NPI assigned
Oct 21, 2006
Reactivated
Mar 28, 2024
Last updated
Sep 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Ron Te Brink
Title
Interim Ceo
Phone
(402) 947-2541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X Primary

Addresses

Primary practice location

905 2ND St
Friend, NE 68359-1133

Mailing address

905 2ND St
Friend, NE 68359-1133
Phone (402) 947-2541

Other names 1

  • Warren Memorial PRO FEES Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071017000672 NE Part B Supplier - Hospital Department(S) 0941303085 Receives reassigned benefits from 7 practitioners
Practice locations: Friend, NE

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Zimmer Medical ClinicFriend, NE, CCN 288556 Rural health clinic Operational/Managerial Control (100%) Oct 1, 2019

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 14

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 14

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1063595486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 2ND ST",
            "city": "FRIEND",
            "state": "NE",
            "postal_code": "683591133",
            "telephone_number": "402-947-2541",
            "fax_number": "402-947-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 2ND ST",
            "city": "FRIEND",
            "state": "NE",
            "postal_code": "683591133",
            "telephone_number": "402-947-2541",
            "fax_number": "402-947-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-21",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "deactivation_date": "2024-02-07",
        "reactivation_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "TE BRINK",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "402-947-2541"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warren Memorial PRO FEES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Friend, NE

Sources for this page

Verify at the official NPI Registry.