Organization Active NPI

Creighton Area Health Services

  • Rural Health Clinic/Center
  • Verdigre, NE
National Provider Identifier
1104910397
Registry record updated Nov 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
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 SERVICESAs reported in NPPES

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.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Part of
Creighton Area Health Services

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
10025098919MedicaidNE

Other names 1

NPPES NPI Registry
  • Verdigre Clinic Doing business as

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.

Verify at the official NPI Registry.