Community Hospital Association
Organization Active NPI Rural Health Clinic/Center · Trenton, NE
NPI 1356378459 · NPPES record last updated Jan 14, 2019
Key facts
- NPI
- 1356378459
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- COMMUNITY HOSPITAL ASSOCIATION
- Practice address
- 406 E 1St St
Trenton, NE 69044-1715 - Phone
- (308) 334-5155
- NPI assigned
- Jun 26, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNITY HOSPITAL ASSOCIATION
Authorized official
- Name
- Mr. Troy A Bruntz
- Title
- President & Ceo
- Phone
- (308) 344-8315
Parent organization (reported in NPPES) 1
Owners & managing parties with NPI records 2
-
Matthew Nielsen, M.D.
-
Ashley Marie Vontz, APRN
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 2
Practitioners 26
-
Alyssa B Bauer, NP-C
-
Ellen Branham, CRNP
-
Evan John Geilenkirchen, C.R.N.A.
-
Todd E Hlavaty, M.D.
-
Angela L Howard, APRN
-
Kaitlyn Huxoll, PA-C
-
Catherine Jibben, DNP, PMHNP-BC
-
Matthew Nielsen, M.D.
-
Lorinda Reece, M.D.
-
Gabriel John Scheer, CRNA
-
Whitney Dawn Schoenemann, APRN
-
Alysia Nicole Sheets, P.A.-C
-
Hannah Faith Taylor, NP-C
-
Ashley Marie Vontz, APRN
-
John West, M.D.
-
Carolyn M Alexander, CRNA
-
David W Carter, CRNA
-
Erin M Engel-Fauske, CRNA
-
Benjamin J. George, M.D.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D0914953 | Trenton Medical Clinic | Certificate of waiver | May 14, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Rural health clinic certification: CCN 288500
- Legal name
- COMMUNITY HOSPITAL ASSOCIATION
- Doing business as
- TRENTON MEDICAL CLINIC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jan 1, 2000
- Last certification
- Apr 20, 2026
- Ownership / control type
- 2B
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 4, 1970 in NE
- Enrollment address
- 406 E 1St St
Trenton, NE 69044-1715
All disclosed owners & managing parties 16
| Name | Role | Since | Share |
|---|---|---|---|
| Michael C Lord |
Corporate Officer | Dec 20, 2023 | |
| Corporate Director | May 18, 2022 | ||
| Jana J Kmoch |
Corporate Director | Dec 19, 2018 | |
| Kurt R Vosburg |
Corporate Officer | Dec 20, 2023 | |
| Corporate Director | Dec 15, 2021 | ||
| Grant R Norgaard |
Corporate Director | Dec 20, 2023 | |
| Matthew G Nielsen |
Corporate Officer | Dec 21, 2022 | |
| Corporate Director | Dec 15, 2021 | ||
| Lori a Beeby |
Corporate Officer |
Dec 12, 2016 | |
| W-2 Managing Employee |
Dec 12, 2016 | ||
| Operational/Managerial Control |
Dec 12, 2016 | ||
| Molly L Herzberg |
Corporate Officer |
Mar 25, 2019 | |
| W-2 Managing Employee |
Mar 25, 2019 | ||
| Operational/Managerial Control |
Mar 25, 2019 | ||
| Karen Kliment Thompson |
Corporate Officer |
Jun 15, 2011 | |
| W-2 Managing Employee |
Feb 13, 2006 | ||
| Operational/Managerial Control |
Feb 13, 2006 | ||
| Troy a Bruntz |
Corporate Officer |
Jun 15, 2011 | |
| W-2 Managing Employee |
Jun 30, 2003 | ||
| Operational/Managerial Control |
Jun 30, 2003 | ||
| Sean Wolfe |
Corporate Officer |
Nov 16, 2016 | |
| W-2 Managing Employee |
Oct 19, 2016 | ||
| Operational/Managerial Control |
Oct 19, 2016 | ||
| Matthew D Nielsen |
Contracted Managing Employee |
Jun 1, 2021 | |
| Operational/Managerial Control |
Jun 1, 2021 | ||
| Diana Gross |
W-2 Managing Employee |
Feb 12, 2008 | |
| Operational/Managerial Control |
Feb 12, 2008 | ||
| Karen J Craw |
Corporate Director | Dec 20, 2023 | |
| Darren Esch |
Corporate Officer | Dec 15, 2021 | |
| Corporate Director | Dec 16, 2020 | ||
| Matthew B Davidson |
Corporate Director | Dec 21, 2022 | |
| Ashley Marie Vontz |
Corporate Director | Dec 21, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100215000654 | NE | Part a Provider - Rural Health Clinic | 9133101629 | Practice locations: Trenton, NE |
National Provider Directory
- Tax ID family
- Community Hospital Association
- Part of
- Community Hospital Association
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
406 E 1St St
Trenton, NE 69044-1715
Mailing address
PO Box 1328
MC Cook, NE 69001-1328
Phone (308) 344-8303
Other names
- TRENTON MEDICAL CLINIC
Other providers in Trenton, NE
- Joel Arterburn
- Lacy Caddick
- Robin Cook
- Educational Service Unit 15
- Hitchcock County Schools #44-0070
- Teresa A Hodgson
- Desean Michael Jackson I
All providers in Trenton, 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 Jan 14, 2019. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.