Kearney Co Health Services
Organization Active NPI Critical Access Hospital · Minden, NE
NPI 1477585958 · NPPES record last updated Feb 14, 2019
Key facts
- NPI
- 1477585958
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 460001 (NE)
- Legal business name
- KEARNEY CO HEALTH SERVICES
- Practice address
- 727 E 1St St
Minden, NE 68959 - Phone
- (308) 832-3400
- Fax
- (308) 832-3414
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Luke D Poore
- Title
- Ceo
- Phone
- (308) 832-3400
Owners & managing parties with NPI records 1
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 2
Subparts reporting this organization as parent 3
Corporate family (same tax ID) 2
Related certifications (CCN) 2
Practitioners 24
-
Jonathan Blecha, M.D.
-
Kaitlyn M Carlson, APRN
-
Cade Craig, M.D.
-
John A. E. Craig, M.D.
-
Sally Jean Farquhar, APRN
-
Diane Kae Jackson, A.P.R.N.
-
Shannon Dee Kuehn, APRN
-
Sara Ann Slingsby, APRN
-
Douglas P. Wulf, APRN
-
Michelle Craig, PA-C
-
Sarah Renee Guthard, PA-C, ATC
-
Jennifer Marie Leiting, APRN
-
Jodie L. Scheele, PA-C
-
Michelle Denise Schiel, APRN
-
Caleb W Schroeder, M.D.
-
Matthew P Rutman, MD
-
Jeffrey A. Schopp, M.D.
Affiliated clinicians 41
-
Bhavish Aubeelauck, M.D
-
Jonathan Blecha, M.D.
-
Kaitlyn M Carlson, APRN
-
Cade Craig, M.D.
-
John A. E. Craig, M.D.
-
Sally Jean Farquhar, APRN
-
Anirban Ghosh, MD
-
Ramakrishna Sai Gorantla, MBBS, MD
-
Suzanne Kay Gregg, APRN
-
Ramez J Habash, MD
-
Robert C Hinze, DPM
-
Diane Kae Jackson, A.P.R.N.
-
Douglas Lee Kosmicki, M.D.
-
Shannon Dee Kuehn, APRN
-
Jennifer Marie Leiting, APRN
-
Todd A Pankratz, M.D.
Medicare Care Compare: Hospital
- Listed as
- Kearney County Health Services Hospital
- Type
- Critical Access Hospitals
- Ownership
- Government - Local
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NE
Hospital certification: CCN 281306
- Legal name
- KEARNEY CO HEALTH SERVICES
- Doing business as
- KEARNEY COUNTY HEALTH SERVICES
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Dec 1, 1999
- Last certification
- Jun 26, 2025
- Beds
- 10
- Ownership / control type
- Local
- Organization structure
- Other · Non-profit
- Enrollment address
- 727 E 1St St
Minden, NE 68959-1705
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Gavin D Blum |
Corporate Officer |
Dec 16, 2019 | |
| W-2 Managing Employee |
Dec 16, 2019 | ||
| Operational/Managerial Control |
Dec 16, 2019 | ||
| Andrew P Grollmes |
Corporate Director | Jan 7, 2025 | |
| Stephen W Olson |
Corporate Officer | Jan 26, 2022 | |
| Corporate Director | Jan 1, 2017 | ||
| Samuel L Stadler |
Corporate Director | Feb 12, 2018 | |
| Douglas J Althouse |
W-2 Managing Employee |
Jan 1, 2015 | |
| Operational/Managerial Control |
Jan 1, 2015 | ||
| Jeffrey Hanson |
Corporate Director | Jan 1, 2012 | |
| Luke D Poore |
Corporate Officer |
Apr 18, 2016 | |
| W-2 Managing Employee |
Apr 18, 2016 | ||
| Operational/Managerial Control |
Apr 18, 2016 | ||
| Aaron J Dahlgren |
Corporate Officer | Jan 25, 2023 | |
| Corporate Director | Apr 27, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040223001142 | NE | Part B Supplier - Clinic/Group Practice | 8820900780 |
Receives reassigned benefits from 24 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Minden, NE |
| O20061104000252 | NE | Part a Provider - Critical Access Hospital | 8820900780 |
Receives reassigned benefits from 24 practitioners Practice locations: Minden, NE |
National Provider Directory
- Tax ID family
- Kearney County Comm Hospi
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 460001 | NE | Yes |
Addresses
Primary practice location
727 E 1St St
Minden, NE 68959
Mailing address
727 East 1St Street
Minden, NE 68959-1705
Phone (308) 832-3400
Other practice location 1
727 E 1st St
Minden, NE 68959
Phone (308) 832-3400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000130 | Other | NE | BLUE CROSS BLUE SHIELD |
Other names
- Kearney County Health Services
Other providers in Minden, NE
- Chad Isaacson
- Diane Kae Jackson
- Obadiah Luke Johnson
- Kearney Co Health Services
- Kearney Co Health Services
- Kearney Co Health Services
- Amy Marie Kingston
- Dakota Nicholas Kingston
- Melissa Klabunde
- Chase Koch
All providers in Minden, NE · Critical Access Hospital in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 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.