NPIMap

Organization Active NPI

Chase County Community Hospital

Doing business as Chase County Clinic

  • Rural Health Clinic/Center
  • Imperial, NE
National Provider Identifier
1124186846
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CHASE COUNTY COMMUNITY HOSPITAL
Doing business as
Chase County Clinic
Practice address
600 W 12TH St
Imperial, NE 69033-3131
Phone
(308) 882-7299
Fax
(308) 882-7362
NPI assigned
Dec 5, 2006
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CHASE COUNTY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Mr. Melvin G McNea
Title
Interim Ceo
Phone
(308) 882-7291

Specialties & licenses 1

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

Addresses

Primary practice location

600 W 12TH St
Imperial, NE 69033-3131

Mailing address

PO Box 819
Imperial, NE 69033-0819
Phone (308) 882-7111

Other names 1

  • Chase County Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050308000245 NE Part A Provider - Rural Health Clinic 2567436736 Practice locations: Imperial, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124186846. Details of each certification follow.

Rural health clinic certification: CCN 283490

Legal name
CHASE COUNTY COMMUNITY HOSPITAL
Doing business as
CHASE COUNTY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 1, 2005
Last certification
Jan 7, 2026
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
600 W 12TH St
Imperial, NE 69033-3131
Related CCNs
281351

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).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0994375Chase County Clinic Imperial600 West 12TH Street, P O Box 819, Imperial, NE 69033Certificate of waiverDec 12, 2027

National Provider Directory

National Provider Directory
Tax ID family
Chase County Hospital4 organizations share this tax ID, including this one
Part of
Chase County Hospital

Other organizations with this tax ID 3

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

Interoperability endpoints

  • Direct secure messaging: dyounger72@ccch.cernerdirect.com
  • Direct secure messaging: jkerr72@ccch.cernerdirect.com
  • Direct secure messaging: jspady72@ccch.cernerdirect.com
  • Direct secure messaging: kluhrs72@ccch.cernerdirect.com

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Lesley N Nordhausen Individual Corporate Officer Aug 18, 2022
Corporate Director Sep 8, 2020
Abigail J Cyboron Individual W-2 Managing EmployeeCfo Jan 1, 2016
Operational/Managerial ControlCfo Jan 1, 2016
Melvin G McNea Individual Corporate OfficerInterim Ceo Aug 11, 2025
W-2 Managing EmployeeInterim Ceo Aug 11, 2025
Operational/Managerial ControlInterim Ceo Aug 11, 2025
Yi an Individual Corporate Director Feb 10, 2026
Marissa M Dirocco-Smith Individual Corporate Officer Oct 29, 2025
Corporate Director Apr 22, 2025
Nicole C Hendricks Individual Corporate Officer Oct 29, 2025
Corporate Director Apr 22, 2025
Connor K Cameron Individual Corporate Director Feb 24, 2026
Hondo J Fanning Individual Corporate Director May 26, 2026
Kara L Engbrecht Individual Corporate Officer Jul 30, 2025
Corporate Director Feb 11, 2025
Timothy L Brininger Individual W-2 Managing EmployeeMD; Jul 1, 2025
Operational/Managerial ControlMedical Director Jul 1, 2025
Kayla a Graham Individual W-2 Managing EmployeeAd;Clinic Administrator Jan 30, 2026
Operational/Managerial ControlClinic Administrator Jan 30, 2026

Owners & managing parties with NPI records 2

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

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 & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1124186846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 819",
            "city": "IMPERIAL",
            "state": "NE",
            "postal_code": "690330819",
            "telephone_number": "308-882-7111",
            "fax_number": "308-882-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 12TH ST",
            "city": "IMPERIAL",
            "state": "NE",
            "postal_code": "690333131",
            "telephone_number": "308-882-7299",
            "fax_number": "308-882-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASE COUNTY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHASE COUNTY COMMUNITY HOSPITAL",
        "enumeration_date": "2006-12-05",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "MCNEA",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "308-882-7291",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chase County Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chase County Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Imperial, NE

Sources for this page

Verify at the official NPI Registry.