NPIMap

Organization Active NPI

Howard County Medical Center

Doing business as Greeley Medical Clinic

  • Family Medicine Physician
  • Greeley, NE
National Provider Identifier
1396040259
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOWARD COUNTY MEDICAL CENTER
Doing business as
Greeley Medical Clinic
Practice address
109 W Oconnor Ave
Greeley, NE 68842
Phone
(308) 754-4421
Fax
(308) 754-2303
NPI assigned
Jan 24, 2011
Last updated
Sep 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Authorized official

Name
Morgan Meyer
Title
Cfo
Phone
(308) 754-4421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

109 W Oconnor Ave
Greeley, NE 68842

Mailing address

P.O. Box 406
1113 Sherman St
Saint Paul, NE 68873-0406
Phone (308) 754-4421

Other names 1

  • GREELEY MEDICAL CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110317000622 NE Part A Provider - Rural Health Clinic 5698775849 Practice locations: Greeley, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396040259. Details of each certification follow.

Rural health clinic certification: CCN 288511

Legal name
HOWARD COUNTY MEDICAL CENTER
Doing business as
GREELEY MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 1, 2011
Last certification
Mar 5, 2025
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
109 W Oconnor Ave
Greeley, NE 68842
Related CCNs
281338

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

Other NPIs with the same Medicare PAC ID 4

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2027991Greeley Medical Clinic109 West Oconnor Ave, Greeley, NE 68842Certificate of waiverAug 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
Howard County Medical7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Danny L Nielsen Individual Corporate Officer Jan 1, 2025
Corporate Director Jan 1, 2020
Kaitlin D Hahn Individual W-2 Managing EmployeeMD; Jan 1, 2024
Operational/Managerial ControlMedical Director Jan 1, 2024
Carol a Schroeder Individual Corporate Officer Jul 1, 1999
Corporate Director Jul 1, 1999
Arlan D Johnson Individual Corporate OfficerCeo Oct 2, 2024
W-2 Managing EmployeeCeo Jul 1, 2009
Operational/Managerial ControlCeo Jul 1, 2009
Paula M Ryan Individual W-2 Managing EmployeeClinic Manager Aug 29, 2017
Operational/Managerial ControlClinic Manager Aug 29, 2017
Morgan Leigh Meyer Individual Corporate OfficerCfo Oct 2, 2024
W-2 Managing EmployeeCfo Sep 22, 2014
Operational/Managerial ControlCfo Sep 22, 2014
Michael L Nelson Individual Corporate Officer Feb 1, 2012
Corporate Director Feb 1, 2012
Harriet Steenson Individual Corporate Officer Jul 1, 1999
Corporate Director Jul 1, 1999

Owners & managing parties with NPI records 1

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
Howard County Medical CenterSaint Paul, NE, CCN 28Z338 Hospital Operational/Managerial Control Oct 1, 2000

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 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1396040259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 406",
            "address_2": "1113 SHERMAN ST",
            "city": "SAINT PAUL",
            "state": "NE",
            "postal_code": "688730406",
            "telephone_number": "308-754-4421",
            "fax_number": "308-754-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W OCONNOR AVE",
            "city": "GREELEY",
            "state": "NE",
            "postal_code": "68842",
            "telephone_number": "308-754-4421",
            "fax_number": "308-754-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "308-754-4421"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREELEY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GREELEY MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greeley, NE

Sources for this page

Verify at the official NPI Registry.