Active NPI
Creighton Area Health Services
- Rural Health Clinic/Center
- Verdigre, NE
National Provider Identifier
1104910397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- CREIGHTON AREA HEALTH SERVICES
- Practice address
- 401 James St
Verdigre, NE 68783-6149 - Phone
- (402) 668-2216
- Fax
- (402) 668-2310
- NPI assigned
- Oct 3, 2006
- Organization subpart
- Yes
- Parent organization
- CREIGHTON AREA HEALTH SERVICES
Authorized official
NPPES NPI Registry- Name
- Ms. Kimberly J. Hixson
- Title
- Cfo
- Phone
- (402) 358-5715
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Critical Access Hospital
- Creighton, NE
- NPI 1972697118
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Verdigre, NE
- NPI 1174617294
-
- Nurse Practitioner
- Verdigre, NE
- NPI 1801980933
National Provider Directory
National Provider Directory- Part of
- Creighton Area Health Services
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
401 James St
Verdigre, NE 68783-6149
Mailing address
PO Box 99
Verdigre, NE 68783-0099
Phone (402) 668-2216
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025098919 | Medicaid | NE |
Other names 1
NPPES NPI Registry- Verdigre Clinic
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2009.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258156800000",
"number": "1104910397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 99",
"city": "VERDIGRE",
"state": "NE",
"postal_code": "687830099",
"telephone_number": "402-668-2216",
"fax_number": "402-668-2310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 JAMES ST",
"city": "VERDIGRE",
"state": "NE",
"postal_code": "687836149",
"telephone_number": "402-668-2216",
"fax_number": "402-668-2310"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREIGHTON AREA HEALTH SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CREIGHTON AREA HEALTH SERVICES",
"enumeration_date": "2006-10-03",
"last_updated": "2009-11-14",
"status": "A",
"authorized_official_last_name": "HIXSON",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "402-358-5715",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025098919",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Verdigre Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Verdigre, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.