Alegent Health Memorial Hospital, Schuyler
Organization Active NPI Rural Health Clinic/Center · Schuyler, NE
NPI 1184709669 · NPPES record last updated Feb 10, 2022
Key facts
- NPI
- 1184709669
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER
- Practice address
- 1721 Colfax St
Schuyler, NE 68661-1400 - Phone
- (402) 352-3745
- Fax
- (402) 352-8750
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
Authorized official
- Name
- Evert Kuiper
- Title
- Ceo - CHI Health
- Phone
- (402) 343-4420
Owners & managing parties with NPI records 2
-
Kirtibala Gupta, M.D
-
Heather M Morgan, M.D.
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 4
Member organizations 34
Related certifications (CCN) 1
Facilities with the same owner 38
Practitioners 10
-
Tamra A. Boettcher, A.P.R.N.
-
Sandra Lee Doernemann, APRN
-
Usha Kiran Kanthety, M.B.B.S
-
Jodene Schmidt, P.A.
-
Michael B Noyes, MD
-
Amy Roden, NP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Rural health clinic certification: CCN 283418
- Legal name
- ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER
- Doing business as
- CHI HEALTH CLINIC SCHUYLER
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Mar 7, 1995
- Last certification
- Dec 1, 2025
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Apr 8, 1950 in NE
- Enrollment address
- 1721 Colfax St
Schuyler, NE 68661-1400 - Related CCNs
- 281323
All disclosed owners & managing parties 20
| Name | Role | Since | Share |
|---|---|---|---|
| CHI Nebraska |
5% Or Greater Direct Ownership Interest | Aug 1, 2013 | 100% |
| Nadine a Heimann |
Corporate Director | Jul 1, 2019 | |
| Maurita Soukup |
Corporate Director | Jul 1, 2017 | |
| Leo G Searcey |
Corporate Director |
Oct 20, 2022 | |
| Commonspirit Health |
5% Or Greater Indirect Ownership Interest | Aug 1, 2013 | 100% |
| Dave R Taylor |
Corporate Director |
Oct 20, 2022 | |
| Daniel Morissette |
Corporate Officer |
Feb 1, 2019 | |
| Cindy a Alloway |
Corporate Director |
Jul 1, 2023 | |
| Tim Bricker |
Corporate Officer |
Jul 1, 2023 | |
| Corporate Director |
Jul 1, 2023 | ||
| William Barney |
Corporate Director | Jul 1, 2020 | |
| Kevin Fitzgerald |
Corporate Director |
Jul 15, 2021 | |
| Nick O'Tool |
Corporate Officer |
Jan 7, 2023 | |
| Operational/Managerial Control |
Jan 7, 2023 | ||
| Heather M Morgan |
Corporate Director | Jul 1, 2020 | |
| Kirtibala Gupta |
Corporate Director |
Jul 15, 2021 | |
| Evert Kuiper |
Corporate Director |
Jan 17, 2022 | |
| Operational/Managerial Control |
Jan 17, 2022 | ||
| John E Petersdorf |
Corporate Director | Jan 21, 2021 | |
| Connie Peters |
W-2 Managing Employee |
Jul 1, 2024 | 100% |
| Operational/Managerial Control |
Jul 1, 2024 | 100% | |
| Mardell Wilson |
Corporate Director | Oct 15, 2020 | |
| Kathryne Alyce Cutler |
Corporate Director |
Jul 1, 2023 | |
| Kelly Bacon |
Corporate Director |
Jul 15, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070530000409 | NE | Part a Provider - Rural Health Clinic | 6406765965 | Practice locations: Schuyler, NE |
National Provider Directory
- Tax ID family
- Schuyler Medical Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
1721 Colfax St
Schuyler, NE 68661-1400
Mailing address
1721 Colfax St
Schuyler, NE 68661-1400
Phone (402) 352-3745
Other names
- CHI Health Clinic Schuyler
Other providers in Schuyler, NE
- Ariana Alarcon
- Ofelia Alarcon
- Yesenia Albers
- Alegent Health Memorial Hospital Schuyler
- Alegent Health Memorial Hospital, Schuyler
- Alegent Health Memorial Hospital, Schuyler
- Alegent Health Memorial Hospital, Schuyler
- Alegent Health-Memorial Hospital Schuyler
- Nancy Marisol Anavisca Martinez
- Maguadalupe Andrade
All providers in Schuyler, NE · Rural Health Clinic/Center in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2022. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.