NPIMap

Organization Active NPI

Cherry County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Valentine, NE
National Provider Identifier
1316046311
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
140001 Issued in 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
Last updated
Apr 24, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CHERRY COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Authorized official

Name
James C Bargen
Title
Ceo
Phone
(402) 376-2525

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 140001 NE Primary
Critical Access Hospital 282NC0060X 140001 NE

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 1

IdentifierTypeStateIssuer
00422OtherNEBCBS OF NEBRASKA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071108000345 NE Part A Provider - Critical Access Hospital 5698686012 Practice locations: Valentine, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316046311. Details of each certification follow.

Hospital certification: CCN 28Z344

Legal name
CHERRY COUNTY HOSPITAL
Doing business as
CHERRY COUNTY HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
510 N Green St
Valentine, NE 69201-1932
Hospital Swing-Bed Unit

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).

National Provider Directory

National Provider Directory
Tax ID family
Cherry County Hospital5 organizations share this tax ID, including this one
Part of
Cherry County Hospital

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Roger W Dunn Individual Corporate Officer Jan 29, 2014
Corporate Director Aug 1, 1997
James Bargen Individual Corporate OfficerCeo May 1, 2024
W-2 Managing EmployeeCeo May 1, 2024
Operational/Managerial ControlCeo May 1, 2024
Stephanie L Jacobsen Individual Contracted Managing EmployeeCfo Oct 9, 2023
Operational/Managerial ControlCfo Oct 9, 2023
Warren Arganbright Individual Corporate Director Jun 1, 2023
Gregg Perrett Individual Corporate Officer Jan 29, 2024
Corporate Director Jul 1, 2023
Cherry County Hospital Organization, Valentine, NE Non-profit Operational/Managerial Control Apr 1, 2001 100%
James Vanwinkle Individual Corporate Director Jul 1, 2023
Mark Burchfield Individual Corporate Director Aug 1, 2023
Sheila K Wheeler Individual Corporate Officer Jan 29, 2019
Corporate Director Jul 31, 2013
Michele N Mulligan-Witt Individual W-2 Managing EmployeeChief of Staff May 2, 2022
Operational/Managerial ControlChief of Staff Apr 1, 2011
Deanna R Scott Individual Corporate Director Apr 1, 2021

Owners & managing parties with NPI records 6

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Cherry County HospitalValentine, NE, CCN 281344 Hospital Operational/Managerial Control (100%) Apr 1, 2001

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 5

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

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1316046311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N GREEN ST",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692011932",
            "telephone_number": "402-376-2525",
            "fax_number": "402-376-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N GREEN ST",
            "city": "VALENTINE",
            "state": "NE",
            "postal_code": "692011932",
            "telephone_number": "402-376-2525",
            "fax_number": "402-376-1627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHERRY COUNTY HOSPITAL",
        "enumeration_date": "2006-09-22",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "BARGEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-376-2525"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NE",
            "license": "140001",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NE",
            "license": "140001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA",
            "identifier": "00422",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valentine, NE

Sources for this page

Verify at the official NPI Registry.