Organization Active NPI

Johnson County Hospital

  • Ambulance
  • Tecumseh, NE
National Provider Identifier
1487429106
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
JOHNSON COUNTY HOSPITAL
Practice address
202 High St
Tecumseh, NE 68450-2443
Phone
(402) 335-3361
NPI assigned
Nov 22, 2023
Organization subpart
Yes
Parent organization
JOHNSON COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Authorized official

Name
Mary Jane Kent
Title
Ceo
Phone
(402) 335-3361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

202 High St
Tecumseh, NE 68450-2443

Mailing address

PO Box 599
Tecumseh, NE 68450-0599
Phone (402) 335-3361

Other names 1

  • Johnson County Hospital Paramedic Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240318001651 NE Part B Supplier - Ambulance Service Supplier 4688583644 Practice locations: Tecumseh, NE

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Johnson County Hospital4 organizations share this tax ID, including this one
Part of
Johnson County Hospital

Other organizations with this tax ID 3

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

Locations

202 High St
Ste 200
Tecumseh, NE 68450
Phone (402) 335-6392

202 High St
Ste 100
Tecumseh, NE 68450
Phone (402) 335-2811

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Johnson County Hospital Home Health ServicesTecumseh, NE, CCN 287073 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1980

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 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1487429106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 599",
            "city": "TECUMSEH",
            "state": "NE",
            "postal_code": "684500599",
            "telephone_number": "402-335-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 HIGH ST",
            "city": "TECUMSEH",
            "state": "NE",
            "postal_code": "684502443",
            "telephone_number": "402-335-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHNSON COUNTY HOSPITAL",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-335-3361"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Johnson County Hospital Paramedic Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tecumseh, NE

Sources for this page

Verify at the official NPI Registry.