Morrill County Community Hospital
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Bridgeport, NE
NPI 1437211596 · NPPES record last updated Oct 11, 2014
Key facts
- NPI
- 1437211596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 540001 (NE)
- Legal business name
- MORRILL COUNTY COMMUNITY HOSPITAL
- Practice address
- 1313 S Street
Bridgeport, NE 69336-2563 - Phone
- (308) 262-1616
- Fax
- (308) 262-0843
- NPI assigned
- Dec 15, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- MORRILL COUNTY COMMUNITY HOSPITAL
Authorized official
- Name
- Ms. Robin L. Stuart
- Title
- Ceo
- Phone
- (308) 262-1616
Parent organization (reported in NPPES) 1
Owners & managing parties with NPI records 1
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 4
Related certifications (CCN) 1
Practitioners 25
-
Megan Collins, DO
-
Cherry L Cooper, APRN
-
Douglas L. Hadden, PA-C
-
Jason James, DO
-
Cheryl A. Laux, APRN
-
Kendal Carann Laux, M.D.
-
Melody J Leisy, APRN
-
Charlotte S Lowery, MSW, LMHP
-
John H. Post, M.D.
-
Deanna L Schrotberger, APRN
-
Masumi K. Wilroy, DO
-
Joseph Boyle, MD
-
Brennan Mosch, M.D.
-
Michal Lee Taylor, M.D.
-
Hope Marie Hansen, APRN
-
Amber E Malcolm, FNP
-
Yohanes T. Tot, PA-C
-
Saed Fathi Awadallah, M.D.
-
Eric Alan Kelts, MD
-
Wyatt Jerome Kramer, PA-C
Affiliated clinicians 2
-
Jason James, DO
-
Brennan Mosch, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Hospital certification: CCN 28Z318
- Legal name
- MORRILL COUNTY COMMUNITY HOSPITAL
- Doing business as
- MORRILL COUNTY COMMUNITY HOSPITAL
- Organization structure
- Other · Non-profit
- Enrollment address
- 1313 S St
Bridgeport, NE 69336-2563
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Sumer Krier |
W-2 Managing Employee |
Jun 19, 2023 | |
| Operational/Managerial Control |
Jun 19, 2023 | ||
| Roger Eirich |
Corporate Director | May 25, 2022 | |
| Travis Rodak |
Corporate Officer | Sep 30, 2020 | |
| Corporate Director | Sep 30, 2020 | ||
| Robin L Stuart |
Corporate Officer |
Jun 30, 2013 | |
| W-2 Managing Employee |
Jun 30, 2013 | ||
| Operational/Managerial Control |
Jun 30, 2013 | ||
| Kenneth D Sestak |
Corporate Officer | Jan 21, 2014 | |
| Corporate Director | Nov 19, 2013 | ||
| Frank J Lussetto |
Corporate Officer | Jan 21, 2014 | |
| Corporate Director | Sep 29, 2010 | ||
| Kevin G Hall |
Corporate Director | Jun 19, 2018 | |
| Richard Wilroy |
W-2 Managing Employee |
Jan 25, 2021 | |
| Operational/Managerial Control |
Jan 25, 2021 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071128000015 | NE | Part a Provider - Critical Access Hospital | 7719930437 | Practice locations: Bridgeport, NE |
National Provider Directory
- Tax ID family
- Post Medical Clinic
- Part of
- Post Medical Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 540001 | NE | Yes |
| Critical Access Hospital | 282NC0060X | 540001 | NE |
Addresses
Primary practice location
1313 S Street
Bridgeport, NE 69336-2563
Mailing address
1313 S St
Bridgeport, NE 69336-2563
Phone (308) 262-1616
Other providers in Bridgeport, NE
- Debra Jo Mason
- Carla Jo McGrath
- Morrill Co Public School Dist 63
- Morrill County Community Hospital
- Morrill County Community Hospital
- Morrill County Community Hospital
- Morrill County Community Hospital
- Mpda Bridgeport LLC
- Chantel Neely
- James David Nein
All providers in Bridgeport, NE · Medicare Defined Swing Bed Hospital Unit in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2014. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.