Beatrice Community Hospital & Health Center Inc
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Beatrice, NE
NPI 1104901792 · NPPES record last updated Dec 26, 2024
Key facts
- NPI
- 1104901792
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 320006 (NE)
- Legal business name
- BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC
- Practice address
- 4800 Hospital Parkway
Beatrice, NE 68310-6906 - Phone
- (402) 228-3344
- Fax
- (402) 223-7299
- NPI assigned
- Oct 25, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER
Authorized official
- Name
- Chad Jurgens
- Title
- Cfo
- Phone
- (402) 223-7224
Owners & managing parties with NPI records 3
-
Deann Christine Paulson, M.D.
-
Steven P Sandman, O.D.
-
Benjamin Thayer, MD
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 6
Related certifications (CCN) 1
Practitioners 66
-
Vicki J Arnold, PA-C
-
Ronald L Bear, MD
-
Megan Rae Beavers, APRN-NP
-
Jordan David Bowling, M.D.
-
Shawn Wade Bryant, PSYD
-
Mary Cammack, APRN
-
Sarah M Castillo, M.D.
-
Molly Creevan, DO
-
Elizabeth Dayton, D.O
-
Meredith Ann Decker, PHD, LP
-
Cara L Esau, APRN-NP
-
Angela Kay Grone, M.D.
-
Jaime Hatcliff, P.A.C.
-
Bridget Henkel, CRNA
-
McKayla R Holthaus, APRN
-
Eric Johnson, CRNA
-
Luke Alan Johnson, CRNA
-
William Johnson, M.D.
-
Keri A Kendall, PA-C
Affiliated clinicians 2
-
Brett A Studley, MD
-
Lauren Wight, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Hospital certification: CCN 28Z364
- Legal name
- BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 23, 1968 in NE
- Enrollment address
- 4800 Hospital Parkway
Beatrice, NE 68310-6906
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Richard Haraldson |
Corporate Officer |
Jan 1, 2018 | |
| W-2 Managing Employee |
Jan 1, 2018 | ||
| Operational/Managerial Control |
Jan 1, 2018 | ||
| Ryan Trauernicht |
Corporate Director |
Jan 1, 2021 | |
| Chad E Jurgens |
W-2 Managing Employee |
Nov 18, 2019 | |
| Operational/Managerial Control |
Nov 18, 2019 | ||
| Rodney Ensz |
Corporate Officer |
Jan 1, 2021 | |
| Corporate Director |
Jan 1, 2019 | ||
| Deanne Caspers Moon |
Corporate Director |
Jan 1, 2017 | |
| Steve Sandman |
Corporate Officer |
Jan 1, 2021 | |
| Corporate Director |
Jan 1, 2016 | ||
| Le Roy J Janzen |
Corporate Officer |
Jan 1, 2008 | |
| Corporate Director |
Jan 1, 2008 | ||
| Susan Hartley |
Corporate Director |
Jan 1, 2020 | |
| Deann C Paulson |
Corporate Director |
Jan 1, 2021 | |
| Craig Zarybnicky |
Corporate Director |
Jan 1, 2020 | |
| Brenda McNiff |
Corporate Director |
Jan 31, 2014 | |
| Benjamin J Thayer |
Corporate Director |
Jan 1, 2021 | |
| Bruce Vitosh |
Corporate Officer |
Jan 1, 2016 | |
| Corporate Director |
Jan 1, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111216000041 | NE | Part a Provider - Critical Access Hospital | 1951208222 | Practice locations: Beatrice, NE |
National Provider Directory
- Tax ID family
- Beatrice Community Inc
- Part of
- Beatrice Community Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 320006 | NE | Yes |
| Critical Access Hospital | 282NC0060X | 320006 | NE |
Addresses
Primary practice location
4800 Hospital Parkway
Beatrice, NE 68310-6906
Mailing address
PO Box 278
Beatrice, NE 68310-0278
Phone (402) 228-3344
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0221 | Other | NE | BLUE CROSS PROVIDER # |
Other providers in Beatrice, NE
- Joshua Aaron Beach
- Beatrice Community Hospital
- Beatrice Community Hospital & Health Center
- Beatrice Community Hospital & Health Center Inc
- Beatrice Community Hospital & Health Center Inc
- Beatrice Community Hospital & Health Center Inc
- Beatrice Community Hospital & Health Center Inc
- Beatrice Community Hospital & Health Center Inc
- Beatrice Community Hospital & Health Center Inc
- Beatrice Family Chiropractic, PC
All providers in Beatrice, NE · Medicare Defined Swing Bed Hospital Unit in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2024. 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.