NPIMap

Organization Active NPI

Faith Regional Health Services

Doing business as Faith Health

  • General Acute Care Hospital
  • Norfolk, NE
National Provider Identifier
1285676544
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
520001 Issued in NE
Legal business name
FAITH REGIONAL HEALTH SERVICES
Doing business as
Faith Health
Practice address
2700 W Norfolk Ave
Norfolk, NE 68701-4438
Phone
(402) 371-4880
Fax
(402) 644-7432
NPI assigned
Jun 12, 2006
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Kelly A Driscoll
Title
President/Ceo
Phone
(402) 371-4880

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 520002 NE
General Acute Care Hospital 282N00000X 520002 NE
General Acute Care Hospital 282N00000X 520001 NE Primary

Addresses

Primary practice location

2700 W Norfolk Ave
Norfolk, NE 68701-4438

Mailing address

PO Box 869
Norfolk, NE 68702-0869
Phone (402) 644-7249

Other identifiers 13

IdentifierTypeStateIssuer
016120701MedicaidMO
363673900MedicaidMN
0544858MedicaidIA
00519OtherNEBCBS ACUTE
00521OtherNEBCBS OP SA
0130790MedicaidSD
0518050MedicaidIA
71907866MedicaidCO
0006400415OtherNEAETNA
5000020OtherNEUNITED HEALTHCARE
00517OtherNEBCBS PSYCH
118248000MedicaidWY
5530790MedicaidSD

Other names 1

  • FAITH HEALTH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041201000880 NE Part A Provider - Hospital 8921902966 Practice locations: Norfolk, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285676544. Details of each certification follow.

Hospital certification: CCN 280125

Legal name
FAITH REGIONAL HEALTH SERVICES
Doing business as
FAITH HEALTH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 1, 1996
Last certification
Sep 27, 2018
Beds
133
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Feb 29, 1996 in NE
Enrollment address
2700 W Norfolk Ave
Norfolk, NE 68701-4438
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

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: Hospital

Medicare Care Compare
Listed as
Faith HealthCCN 280125 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Faith Regional HLTH SRVC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

110 N 29th St
Fl 3
Norfolk, NE 68701
Phone (402) 844-8131

2701 W Norfolk Ave
Fl 2
Norfolk, NE 68701
Phone (402) 844-8158

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
Brent J Berner Individual Corporate Director Mar 3, 2025
John B Dinkel Individual Corporate Officer Jan 1, 2023
Corporate Director Jan 1, 2021
Diane E Becker Individual Corporate Officer Jan 1, 2026
Corporate Director Jan 1, 2021
Mark W Davis Individual W-2 Managing EmployeeChief Medical Officer May 27, 2019
Operational/Managerial ControlChief Medical Officer May 27, 2019
Kelly a Driscoll Individual Corporate OfficerPresident/Ceo Aug 7, 2018
W-2 Managing EmployeePresident/Ceo Jul 25, 2011
Operational/Managerial ControlPresident/Ceo Jul 25, 2011
Shawn D Beaudette Individual Corporate Director Jul 1, 2026
Lutheran Community Hospital Association of Norfolk Nebraska Organization, Norfolk, NE Corporation, Non-profit Operational/Managerial Control Feb 29, 1996
Steffan R Lacey Individual Corporate Director Jul 11, 2016
Roseanne M Brock Individual Corporate Director Jan 1, 2025
Michael P Moreno Individual Corporate Director Jan 1, 2026
Maryanne Hartzell Individual Corporate Director Jan 8, 2024
Regina F Busboom Individual Corporate Director Jan 1, 2023
Brenda Baker Individual Corporate OfficerVP Finance/Cfo Sep 9, 2024
W-2 Managing EmployeeVP Finance/Cfo Sep 9, 2024
Operational/Managerial ControlVP Finance/Cfo Sep 9, 2024
Lane T Handke Individual Corporate Director May 27, 2019
Jason S Doele Individual Corporate Director Jan 1, 2024
Joshua P Gossman Individual Corporate Director Jan 1, 2020
Thomas Schueth Individual Corporate Officer Jan 1, 2025
Corporate Director Apr 3, 2023
Leon G Rosenthal Individual Corporate Director Jan 1, 2021
Connie Rupp Individual W-2 Managing EmployeeVice President Nursing/Cno Sep 25, 2017
Operational/Managerial ControlVice President Nursing/Cno Sep 25, 2017
Jacque L Collison Individual Corporate Officer Jan 1, 2024
Corporate Director Jan 1, 2020

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Niobrara Valley HospitalLynch, NE, CCN 281303 Hospital Operational/Managerial Control Apr 1, 2011
Niobrara Valley HospitalLynch, NE, CCN 28Z303 Hospital Operational/Managerial Control Apr 1, 2011

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Subparts reporting this organization as parent 11

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 33

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.

View all 33

Affiliated clinicians 359

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 359

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1285676544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 869",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687020869",
            "telephone_number": "402-644-7249",
            "fax_number": "402-644-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687014438",
            "telephone_number": "402-371-4880",
            "fax_number": "402-644-7432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAITH REGIONAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "DRISCOLL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "402-371-4880"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NE",
            "license": "520002",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NE",
            "license": "520002",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NE",
            "license": "520001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016120701",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "363673900",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0544858",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ACUTE",
            "identifier": "00519",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OP SA",
            "identifier": "00521",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0130790",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0518050",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "71907866",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0006400415",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "5000020",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PSYCH",
            "identifier": "00517",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118248000",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5530790",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAITH HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

Verify at the official NPI Registry.