NPIMap

Organization Active NPI

Cherry County Hospital

Doing business as Cherry County Hospital Dialysis Unit

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Valentine, NE
National Provider Identifier
1124127121
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
140001 Issued in NE
Legal business name
CHERRY COUNTY HOSPITAL
Doing business as
Cherry County Hospital Dialysis Unit
Practice address
510 N Green St
Valentine, NE 69201-1932
Phone
(402) 376-2525
Fax
(402) 376-1627
NPI assigned
Sep 22, 2006
Last updated
Apr 24, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CHERRY COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
James C Bargen
Title
Ceo
Phone
(402) 376-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 140001 NE Primary

Addresses

Primary practice location

510 N Green St
Valentine, NE 69201-1932

Mailing address

510 N Green St
Valentine, NE 69201-1932
Phone (402) 376-2525

Other identifiers 2

IdentifierTypeStateIssuer
00064OtherNEBCBS OF NEBRASKA
10025033200MedicaidNE

Other names 1

  • Cherry County Hospital Dialysis Unit Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030829000009 NE Part A Provider - End-Stage Renal Disease Facility (ESRD) 5698686012 Practice locations: Valentine, NE

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Dialysis facility

Medicare Care Compare
Listed as
Cherry County Hospital Dialysis UnitCCN 282315
Ownership
Non-profit
Certified
Aug 19, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
4

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address.

National Provider Directory

National Provider Directory
Tax ID family
Cherry County Hospital5 organizations share this tax ID, including this one
Part of
Cherry County Hospital

Other organizations with this tax ID 4

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

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Cherry County HospitalValentine, NE, CCN 281344 Hospital Operational/Managerial Control (100%) Apr 1, 2001
Cherry County HospitalValentine, NE, CCN 28Z344 Hospital Operational/Managerial Control (100%) Apr 1, 2001

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1124127121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N GREEN ST",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692011932",
            "telephone_number": "402-376-2525",
            "fax_number": "402-376-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N GREEN ST",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692011932",
            "telephone_number": "402-376-2525",
            "fax_number": "402-376-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHERRY COUNTY HOSPITAL",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "BARGEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-376-2525"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NE",
            "license": "140001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA",
            "identifier": "00064",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025033200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherry County Hospital Dialysis Unit",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cherry County Hospital Dialysis Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valentine, NE

Sources for this page

Verify at the official NPI Registry.