NPIMap

Organization Active NPI

Gordon Memorial Hospital

  • Rural Health Clinic/Center
  • Gordon, NE
National Provider Identifier
1295828713
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
730001 Issued in NE
Legal business name
GORDON MEMORIAL HOSPITAL
Practice address
807 N Ash
Gordon, NE 69343-1132
Phone
(308) 282-2200
Fax
(308) 282-1428
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Megan M Heath, RN
Title
Ceo
Phone
(308) 282-0401

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 730001 NE Primary
Rural Health Clinic/Center 261QR1300X NE

Addresses

Primary practice location

807 N Ash
Gordon, NE 69343-1132

Mailing address

807 N Ash St
Gordon, NE 69343-1132
Phone (308) 282-2200

Other identifiers 1

IdentifierTypeStateIssuer
098738MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040318000370 NE Part B Supplier - Clinic/Group Practice 3072403575 Receives reassigned benefits from 14 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gordon, NE; Rushville, NE
O20050629001231 NE Part A Provider - Rural Health Clinic 3072403575 Practice locations: Gordon, NE

Rural health clinic certification: CCN 283448

Legal name
GORDON MEMORIAL HOSPITAL
Doing business as
GORDON CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 13, 1999
Last certification
Jul 9, 2024
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
807 N Ash St
Gordon, NE 69343-1132
Related CCNs
281358

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).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Megan Heath Individual Corporate OfficerCeo Aug 15, 2022 100%
W-2 Managing EmployeeAd; Aug 15, 2022 100%

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Rushville ClinicRushville, NE, CCN 283451 Rural health clinic Operational/Managerial Control (100%) Nov 7, 2014

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1295828713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 N ASH ST",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693431132",
            "telephone_number": "308-282-2200",
            "fax_number": "308-282-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N ASH",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693431132",
            "telephone_number": "308-282-2200",
            "fax_number": "308-282-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-282-0401",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NE",
            "license": "730001",
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NE",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "098738",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gordon, NE

Sources for this page

Verify at the official NPI Registry.