NPIMap

Organization Active NPI

Good Samaritan Hospital

Doing business as CHI Health Richard Young Behavioral Health

  • Psychiatric Hospital Unit
  • Kearney, NE
National Provider Identifier
1114942869
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
070002 Issued in NE
Legal business name
GOOD SAMARITAN HOSPITAL
Doing business as
CHI Health Richard Young Behavioral Health
Practice address
1755 Prairie View PL
Kearney, NE 68845-8300
Phone
(308) 865-2000
Fax
(308) 865-2853
NPI assigned
Jul 13, 2006
Last updated
Mar 20, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GOOD SAMARITAN HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Nick O'Tool
Title
Cfo - CHI Health
Phone
(402) 717-8118

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 070002 NE Primary
General Acute Care Hospital 282N00000X NU
Psychiatric Hospital 283Q00000X NU

Addresses

Primary practice location

1755 Prairie View PL
Kearney, NE 68845-8300

Mailing address

10 E 31St St
P.O. Box 1990
Kearney, NE 68847-2926
Phone (308) 865-7900

Other identifiers 3

IdentifierTypeStateIssuer
4106674MedicaidMT
100100220BMedicaidKS
00172OtherBLUE CROSS

Other names 1

  • CHI HEALTH RICHARD YOUNG BEHAVIORAL HEALTH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040712000073 NE Part A Provider - Hospital 6002719093 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kearney, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114942869. Details of each certification follow.

Hospital certification: CCN 280009

Legal name
GOOD SAMARITAN HOSPITAL
Doing business as
CHI HEALTH GOOD SAMARITAN
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 9, 2010
Beds
165
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Dec 20, 1963 in NE
Enrollment address
10 E 31St St
Box 1990
Kearney, NE 68847-2926
Hospital subgroups
Acute care

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
CHI Health Good SamaritanCCN 280009 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Good Samaritan ER Physi

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

3219 Central Ave
Lowr
Kearney, NE 68847
Phone (308) 865-2727

601 Central Ave
Kearney, NE 68847
Phone (308) 865-2727

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
CHI Nebraska Organization, Omaha, NE Management services company 5% Or Greater Direct Ownership Interest Aug 1, 2013 100%
Curt Michael Coleman Individual Operational/Managerial ControlPresident Aug 1, 2022
Nadine a Heimann Individual Corporate DirectorBoard Member Jul 1, 2019
Maurita Soukup Individual Corporate Director Jul 1, 2017
Leo G Searcey Individual Corporate DirectorBoard Member Oct 20, 2022
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2013 100%
Dave R Taylor Individual Corporate DirectorBoard Member Oct 20, 2022
Daniel Morissette Individual OtherCfo, Commonspirit Health Sep 2, 2023
Cindy a Alloway Individual Corporate DirectorBoard Member Jul 1, 2023
Tim Bricker Individual Corporate OfficerMed West Div Ceo Jul 1, 2023
Corporate DirectorMed West Div Ceo Jul 1, 2023
William Barney Individual Corporate Director Jul 1, 2020
Kevin Fitzgerald Individual Corporate DirectorBod Jul 15, 2021
Nick O'Tool Individual Corporate OfficerCfo Jul 1, 2023
Operational/Managerial ControlInterim Cfo - CHI Health Jan 7, 2023
Heather M Morgan Individual Corporate Director Jul 1, 2020
Kirtibala Gupta Individual Corporate DirectorBod Jul 15, 2021
Evert Kuiper Individual Corporate DirectorCeo - CHI Health Jan 17, 2022
Operational/Managerial ControlCeo - CHI Health Jan 17, 2022
John E Petersdorf Individual Corporate Director Jan 21, 2021
Mardell Wilson Individual Corporate Director Oct 15, 2020
Kathryne Alyce Cutler Individual Corporate DirectorBoard Member Jul 1, 2023
Kelly Bacon Individual Corporate DirectorBod Jul 15, 2021

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 125

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.

View all 125

Affiliated clinicians 338

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

View all 338

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1114942869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E 31ST ST",
            "address_2": "P.O. BOX 1990",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472926",
            "telephone_number": "308-865-7900",
            "fax_number": "308-865-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 PRAIRIE VIEW PL",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458300",
            "telephone_number": "308-865-2000",
            "fax_number": "308-865-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SAMARITAN HOSPITAL",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A",
        "authorized_official_last_name": "O'TOOL",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "CFO - CHI HEALTH",
        "authorized_official_telephone_number": "402-717-8118"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NE",
            "license": "070002",
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4106674",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100100220B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00172",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI HEALTH RICHARD YOUNG BEHAVIORAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHI HEALTH RICHARD YOUNG BEHAVIORAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.