Warren Memorial Hospital
Organization Active NPI Rural Acute Care Hospital · Friend, NE
NPI 1063595486 · NPPES record last updated Sep 8, 2026
Key facts
- NPI
- 1063595486
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Acute Care Hospital 282NR1301X
- Legal business name
- WARREN MEMORIAL HOSPITAL
- 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
- Organization subpart
- No
Authorized official
- Name
- Ron Te Brink
- Title
- Interim Ceo
- Phone
- (402) 947-2541
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 2
Member organizations 1
Practitioners 18
-
Janae Leigh Whitaker, FNP-C
-
Torrey Brett Rassfeld, D.P.M.
-
Crystal Dawn Leis, PMHNP
-
Cortney Marie Boeck, PA-C
-
Juvet N. Che, M.D.
-
Eric Daniel Daharsh, D.O.
-
Michael Karel, PA
-
Derek M Nelson, PA-C
-
Brady Dutton Beecham, MD, MPH
-
Jaime Kent Dodge, MD
-
Liane E Donovan, MD
-
Maxine Turvey, APRN
-
Logan Meisinger, CRNA
-
Charisse Marie Mertz, CRNA
-
Michael David Monfore, CRNA
-
Matthew Carl Montgomery, CRNA, MS
-
Caleb W Schroeder, M.D.
-
Melissa Marie Lawrence, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Zimmer Medical Clinic |
Rural health clinic | Operational/Managerial Control (100%) | Oct 1, 2019 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071017000672 | NE | Part B Supplier - Hospital Department(S) | 0941303085 |
Receives reassigned benefits from 7 practitioners Practice locations: Friend, NE |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Acute Care Hospital | 282NR1301X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03963 | Other | NE | BCBS |
| 54904 | Medicaid | NE |
Other names
- Warren Memorial PRO FEES
Other providers in Friend, NE
- Doug Shandera
- Susan B Sloan
- Michelle Faith Stutzman
- Ana Rosa Taylor
- TD Dental PC
- Warren Memorial Hospital
- Warren Memorial Hospital
- Warren Memorial Hospital
All providers in Friend, NE · Rural Acute Care Hospital 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 8, 2026. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.