NPIMap

Organization Active NPI

Beatrice Community Hospital & Health Center Inc

  • Medicare Defined Swing Bed Hospital Unit
  • Beatrice, NE
National Provider Identifier
1104901792
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
320006 Issued in 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
Last updated
Dec 26, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
BEATRICE COMMUNITY HOSPITAL & HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Chad Jurgens
Title
Cfo
Phone
(402) 223-7224

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 320006 NE Primary
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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111216000041 NE Part A Provider - Critical Access Hospital 1951208222 Practice locations: Beatrice, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104901792. Details of each certification follow.

Hospital certification: CCN 28Z364

Legal name
BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC
Organization structure
CorporationNon-profit
Incorporated
Feb 23, 1968 in NE
Enrollment address
4800 Hospital Parkway
Beatrice, NE 68310-6906

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

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Beatrice Womens Center7 organizations share this tax ID, including this one
Part of
Beatrice Womens Center

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard Haraldson Individual Corporate OfficerCeo Jan 1, 2018
W-2 Managing EmployeeCeo Jan 1, 2018
Operational/Managerial ControlCeo Jan 1, 2018
Ryan Trauernicht Individual Corporate DirectorBoard Member Jan 1, 2021
Chad E Jurgens Individual W-2 Managing EmployeeCfo Nov 18, 2019
Operational/Managerial ControlCfo Nov 18, 2019
Rodney Ensz Individual Corporate OfficerBoard Secretary Jan 1, 2021
Corporate DirectorBoard Member Jan 1, 2019
Deanne Caspers Moon Individual Corporate DirectorBoard Member Jan 1, 2017
Steve Sandman Individual Corporate OfficerBoard Chair Jan 1, 2021
Corporate DirectorBoard Member Jan 1, 2016
Le Roy J Janzen Individual Corporate OfficerVice Chair Jan 1, 2008
Corporate DirectorBoard Member Jan 1, 2008
Susan Hartley Individual Corporate DirectorBoard Member Jan 1, 2020
Deann C Paulson Individual Corporate DirectorBoard Member Jan 1, 2021
Craig Zarybnicky Individual Corporate DirectorBoard Member Jan 1, 2020
Brenda McNiff Individual Corporate DirectorBoard Member Jan 31, 2014
Benjamin J Thayer Individual Corporate DirectorBoard Member Jan 1, 2021
Bruce Vitosh Individual Corporate OfficerBoard Treasurer Jan 1, 2016
Corporate DirectorBoard Member Jan 1, 2016

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1104901792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683100278",
            "telephone_number": "402-228-3344",
            "fax_number": "402-223-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 HOSPITAL PARKWAY",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683106906",
            "telephone_number": "402-228-3344",
            "fax_number": "402-223-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "JURGENS",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "402-223-7224"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NE",
            "license": "320006",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NE",
            "license": "320006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beatrice, NE

Sources for this page

Verify at the official NPI Registry.