Cherry County Hospital
Organization Active NPI Critical Access Hospital · Valentine, NE
NPI 1144329152 · NPPES record last updated Apr 24, 2024
Key facts
- NPI
- 1144329152
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 140001 (NE)
- Legal business name
- CHERRY COUNTY HOSPITAL
- Practice address
- 510 N Green St
Valentine, NE 69201-1932 - Phone
- (402) 376-2525
- Fax
- (402) 376-1627
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
Authorized official
- Name
- James C Bargen
- Title
- Ceo
- Phone
- (402) 376-2525
Owners & managing parties with NPI records 6
Owned or controlled facilities with NPI records 1
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 4
Related certifications (CCN) 2
Facilities with the same owner 1
Practitioners 30
-
Richard A Blum, PA-C
-
Jordan David Bowling, M.D.
-
Justina Burge, DNP
-
Claire Elizabeth Carr, PA-C
-
Tracy D Ray, PA-C
-
Yohanes T. Tot, PA-C
-
Bradley J Vasa, MD
-
Sarah Ward, PA
-
Nicholas P Hopson, D.O.
-
Jonathan Barrett Scott, D.O.
-
Michael Sisk, MD
-
Alexandra Weaver, MD
-
Steven H Carlsen, PA-C
-
David Stephen Keith, D.O.
-
Jared L Michalson, M.D.
-
Autumn Rae Tucker, APRN
-
Michael Andrew Fuller, D.O.
-
Burt John McKeag, MD
Affiliated clinicians 81
-
Amulya Abburi, MD
-
Ahmed Awais, M.D.
-
Mathue Michael Baker, M.D.
-
Cassie Marie Banks, MS FNP
-
Richard A Blum, PA-C
-
Jordan David Bowling, M.D.
-
Ellen Branham, CRNP
-
Justina Burge, DNP
-
Steven H Carlsen, PA-C
-
Raymond Lionel Carlson, D.O.
-
Claire Elizabeth Carr, PA-C
-
Shawna R Collier, M.D.
-
Elizabeth A. Devine, APRN
-
Amal El Gharamti, MD
-
Sophia Rene Gomez, PA-C
-
Keegan Anthony Harkins, M.D.
-
David Clark Hatch, M.D.
-
Jed T Hollingsworth, D.O.
-
Bryce Anthony Jarzynka, PA-C
Medicare Care Compare: Hospital
- Listed as
- Cherry County Hospital
- Type
- Critical Access Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Hospital certification: CCN 281344
- Legal name
- CHERRY COUNTY HOSPITAL
- Doing business as
- CHERRY COUNTY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Apr 1, 2001
- Last certification
- May 22, 2025
- Beds
- 21
- Ownership / control type
- Local
- Organization structure
- Other · Non-profit
- Enrollment address
- 510 N Green St
Valentine, NE 69201-1932
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Roger W Dunn |
Corporate Officer | Jan 29, 2014 | |
| Corporate Director | Aug 1, 1997 | ||
| James Bargen |
Corporate Officer |
May 1, 2024 | |
| W-2 Managing Employee |
May 1, 2024 | ||
| Operational/Managerial Control |
May 1, 2024 | ||
| Stephanie L Jacobsen |
Contracted Managing Employee |
Oct 9, 2023 | |
| Operational/Managerial Control |
Oct 9, 2023 | ||
| Warren Arganbright |
Corporate Director | Jun 1, 2023 | |
| Gregg Perrett |
Corporate Officer | Jan 29, 2024 | |
| Corporate Director | Jul 1, 2023 | ||
| Cherry County Hospital |
Operational/Managerial Control | Apr 1, 2001 | 100% |
| James Vanwinkle |
Corporate Director | Jul 1, 2023 | |
| Mark Burchfield |
Corporate Director | Aug 1, 2023 | |
| Sheila K Wheeler |
Corporate Officer | Jan 29, 2019 | |
| Corporate Director | Jul 31, 2013 | ||
| Michele N Mulligan-Witt |
W-2 Managing Employee |
May 2, 2022 | |
| Operational/Managerial Control |
Apr 1, 2011 | ||
| Deanna R Scott |
Corporate Director | Apr 1, 2021 |
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| Cherry County Hospital |
Hospital | Operational/Managerial Control (100%) | Apr 1, 2001 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061218000027 | NE | Part a Provider - Critical Access Hospital | 5698686012 |
Receives reassigned benefits from 30 practitioners Practice locations: Valentine, NE |
National Provider Directory
- Tax ID family
- Cherry County Hospital
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 140001 | NE | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8533270 | Medicaid | SD | |
| 9001510 | Medicaid | SD | |
| 00064 | Other | NE | BCBS OF NEBRASKA |
| 5520210 | Medicaid | SD | |
| 0120210 | Medicaid | SD |
Other providers in Valentine, NE
- Maria Raluca Carty
- Lori Jo-Ann Centa
- Cherry County Drug
- Cherry County Hospital
- Cherry County Hospital
- Cherry County Hospital
- Cherry County Hospital
- Cherry County Hospital
- Cherry County Hospital
- Cherry Hills Estates
All providers in Valentine, NE · Critical Access Hospital in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.