Four Corners Health Department

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

FOUR CORNERS HEALTH DEPARTMENT

Practice address

2101 N Lincoln Ave
York, NE 68467-1027

Phone

(402) 362-2621

Fax

(402) 362-2687

NPI assigned

Dec 1, 2021

Last updated

Dec 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura McDougall

Title

Executive Director

Phone

(402) 362-2621

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 5

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.

• Linda J Dubs-Cerny, LICSW

  • Clinical Social Worker
  • Seward, NE
  • NPI 1750356564

  Mental Health

  Medicare reassignment NPD
• Jillian Michelle Fickenscher, M.D.

  • Family Medicine Physician
  • Omaha, NE
  • NPI 1376988972
  Medicare reassignment NPD
• Patrick A. Hotovy, M.D.

  • Family Medicine Physician
  • York, NE
  • NPI 1346296001
  Medicare reassignment NPD
• Angel Dale, CHW

  • Community Health Worker
  • York, NE
  • NPI 1881416113
  NPD
• Leslie Toovey, LADC

  • Addiction (Substance Use Disorder) Counselor
  • York, NE
  • NPI 1255999272
  NPD

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

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1497413926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 N LINCOLN AVE",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684671027",
            "telephone_number": "402-362-2621",
            "fax_number": "402-362-2687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 N LINCOLN AVE",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684671027",
            "telephone_number": "402-362-2621",
            "fax_number": "402-362-2687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CORNERS HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-01",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A",
        "authorized_official_last_name": "MCDOUGALL",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-362-2621"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brady Allen Fickenscher, M.D.
• Stevie Fisher
• Christina Flodman, OTD, OTR/L
• William Steve Florer, B.S.,A.S.
• Jennifer Foerster
• Amelia Ann Franssen
• Kayla Frost
• Jenna Michelle Fuehrer
• Holly Fuhr, LMHP
• Morgan Garrison

• Public Health or Welfare Agency in York, NE
• Providers in York, NE by specialty
• Public Health or Welfare Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.