Organization Active NPI

York General Hospital

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • York, NE
National Provider Identifier
1144320441
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
ESRD027 Issued in NE
Legal business name
YORK GENERAL HOSPITAL
Practice address
2315 N Lincoln Ave
York, NE 68467-1001
Phone
(402) 363-6631
Fax
(402) 363-6632
NPI assigned
Sep 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Authorized official

Name
James P Ulrich Jr.
Title
Ceo
Phone
(402) 362-0444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X ESRD027 NE Primary

Addresses

Primary practice location

2315 N Lincoln Ave
York, NE 68467-1001

Mailing address

2222 N Lincoln Ave
York, NE 68467
Phone (402) 362-6671

Other identifiers 3

IdentifierTypeStateIssuer
10025157000MedicaidNE
0066OtherBCS
H46OtherMIDLANDS

Other names 1

  • York General Dialysis Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080430000614 NE Part A Provider - End-Stage Renal Disease Facility (ESRD) 9234021080 Practice locations: York, 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
York General Dialysis ServicesCCN 282318
Overall star rating
4.0 of 5
Ownership
Non-profit
Certified
Mar 3, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Dialysis stations
12

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

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
28D2062245York General Dialysis2315 N Lincoln Avenue, York, NE 68467Certificate of waiverJul 11, 2027

National Provider Directory

National Provider Directory
Tax ID family
Emergency RM Physicians7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

2315 N Lincoln Ave
York, NE 68467
Phone (402) 363-6631

Ownership & related parties

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
York General HospitalYork, NE, CCN 281336 Hospital Operational/Managerial Control Jan 21, 2008
York General HospitalYork, NE, CCN 28Z336 Hospital Operational/Managerial Control Jan 21, 2008
York General HearthstoneYork, NE, CCN 285131 Skilled nursing facility Operational/Managerial Control Jan 21, 2008
York General Hosp Home HealthYork, NE, CCN 287101 Home health agency 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Feb 13, 1998
Jan 21, 2008

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 20

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

View all 20

Affiliated clinicians 2

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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666915200000",
    "number": "1144320441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 N LINCOLN AVE",
            "city": "YORK",
            "state": "NE",
            "postal_code": "68467",
            "telephone_number": "402-362-6671",
            "fax_number": "402-362-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 N LINCOLN AVE",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684671001",
            "telephone_number": "402-363-6631",
            "fax_number": "402-363-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YORK GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A",
        "authorized_official_last_name": "ULRICH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-362-0444",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NE",
            "license": "ESRD027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025157000",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCS",
            "identifier": "0066",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS",
            "identifier": "H46",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "York General Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "York General Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in York, NE

Sources for this page

Verify at the official NPI Registry.