NPIMap

Organization Active NPI

Perkins County Hospital District

Doing business as Perkins County Health Services

  • Medicare Defined Swing Bed Hospital Unit
  • Grant, NE
National Provider Identifier
1114933041
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
600001 Issued in NE
Legal business name
PERKINS COUNTY HOSPITAL DISTRICT
Doing business as
Perkins County Health Services
Practice address
900 Lincoln Ave
Grant, NE 69140-3095
Phone
(308) 352-7200
Fax
(308) 352-7290
NPI assigned
Jul 31, 2006
Last updated
May 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Authorized official

Name
James Lebrun
Title
Administrator/ Ceo
Phone
(308) 352-7245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 600001 NE Primary

Addresses

Primary practice location

900 Lincoln Ave
Grant, NE 69140-3095

Mailing address

900 Lincoln Ave
Grant, NE 69140-3095
Phone (308) 352-7200

Other names 1

  • Perkins County Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071129000724 NE Part A Provider - Critical Access Hospital 0840109823 Practice locations: Grant, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114933041. Details of each certification follow.

Hospital certification: CCN 28Z356

Legal name
PERKINS COUNTY HOSPITAL DISTRICT
Doing business as
PERKINS COUNTY HEALTH SERVICES
Organization structure
GovernmentNon-profit
Enrollment address
900 Lincoln Ave
Grant, NE 69140-3095
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Perkins County Hospital District6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Neil Hilton Individual Corporate OfficerPresident/ Ceo Jan 22, 2018 100%
W-2 Managing EmployeePresident/ Ceo Jan 22, 2018 100%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Perkins County Family ClinicOgallala, NE, CCN 288555 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 1, 2019
Nov 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400716800000",
    "number": "1114933041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LINCOLN AVE",
            "city": "GRANT",
            "state": "NE",
            "postal_code": "691403095",
            "telephone_number": "308-352-7200",
            "fax_number": "308-352-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LINCOLN AVE",
            "city": "GRANT",
            "state": "NE",
            "postal_code": "691403095",
            "telephone_number": "308-352-7200",
            "fax_number": "308-352-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERKINS COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2014-05-22",
        "status": "A",
        "authorized_official_last_name": "LEBRUN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR/ CEO",
        "authorized_official_telephone_number": "308-352-7245"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NE",
            "license": "600001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perkins County Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grant, NE

Sources for this page

Verify at the official NPI Registry.