NPIMap

Organization Active NPI

West Holt Memorial Hospital

  • Critical Access Hospital
  • Atkinson, NE
National Provider Identifier
1295785442
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
410001 Issued in NE
Legal business name
WEST HOLT MEMORIAL HOSPITAL
Practice address
406 W Neely St
Atkinson, NE 68713-4801
Phone
(402) 925-2811
Fax
(402) 925-2810
NPI assigned
May 10, 2006
Last updated
Dec 17, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Authorized official

Name
Jeremy Bauer
Title
Cfo
Phone
(402) 925-1947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 410001 NE Primary

Addresses

Primary practice location

406 W Neely St
Atkinson, NE 68713-4801

Mailing address

406 W Neely St
Atkinson, NE 68713-4801
Phone (402) 925-2811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071129000005 NE Part A Provider - Critical Access Hospital 2264419878 Receives reassigned benefits from 13 practitioners
Practice locations: Atkinson, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295785442. Details of each certification follow.

Hospital certification: CCN 281343

Legal name
WEST HOLT MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 1, 2000
Last certification
Feb 12, 2026
Beds
15
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Aug 21, 1972 in NE
Enrollment address
406 W Neely St
Atkinson, NE 68713-4801
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
West Holt Memorial HospitalCCN 281343 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
West Holt Medical Clini4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

405 W Pearl St
Ste 1
Atkinson, NE 68713

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/wstholt-d1685583

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Michael Peek Individual Corporate Director Jan 1, 2022
Marsha Thurlow Individual Corporate Director Jan 1, 2022
Trent Schaaf Individual Corporate Director Jan 1, 2022
Lori Olson Individual Corporate Director Jan 1, 2022
Jeremy Bauer Individual Corporate OfficerCeo Dec 1, 2018 100%
W-2 Managing EmployeeCeo Dec 1, 2018 100%
Thomas Dvorak Individual Corporate Director Jan 1, 2022 100%
Brett Lieswald Individual Corporate Director Jan 1, 2022 100%

Practitioners & affiliated clinicians

Practitioners 13

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 13

Affiliated clinicians 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1295785442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 W NEELY ST",
            "city": "ATKINSON",
            "state": "NE",
            "postal_code": "687134801",
            "telephone_number": "402-925-2811",
            "fax_number": "402-925-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 W NEELY ST",
            "city": "ATKINSON",
            "state": "NE",
            "postal_code": "687134801",
            "telephone_number": "402-925-2811",
            "fax_number": "402-925-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HOLT MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "BAUER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "402-925-1947"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NE",
            "license": "410001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atkinson, NE

Sources for this page

Verify at the official NPI Registry.