NPIMap

Organization Active NPI

St. Mary's Community Hospital

Doing business as CHI Health St. Mary's

  • Medicare Defined Swing Bed Hospital Unit
  • Nebraska City, NE
National Provider Identifier
1497801567
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
H000128 Issued in NE
Legal business name
ST. MARY'S COMMUNITY HOSPITAL
Doing business as
CHI Health St. Mary's
Practice address
1301 Grundman Blvd
Nebraska City, NE 68410-3323
Phone
(402) 873-8951
Fax
(402) 873-9033
NPI assigned
Jan 25, 2007
Last updated
Oct 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CATHOLIC HEALTH INITIATIVESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Authorized official

Name
Nick Duane O'Tool
Title
Cfo
Phone
(402) 343-4552

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X H000128 NE Primary
Critical Access Hospital 282NC0060X H000128 NE

Addresses

Primary practice location

1301 Grundman Blvd
Nebraska City, NE 68410-3323

Mailing address

1301 Grundman Blvd
Nebraska City, NE 68410-3319
Phone (402) 873-8951

Other names 1

  • CHI Health St. Mary's Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071128000892 NE Part A Provider - Critical Access Hospital 7113831926 Practice locations: Nebraska City, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497801567. Details of each certification follow.

Hospital certification: CCN 28Z342

Legal name
ST MARYS COMMUNITY HOSPITAL
Doing business as
CHI HEALTH ST MARYS
Organization structure
CorporationNon-profit
Enrollment address
1301 Grundman Blvd
Nebraska City, NE 68410-3319
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
CHI Nebraska Organization, Omaha, NE Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Aug 1, 2013 100%
Commonspirit Health Organization, Englewood, CO Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Aug 1, 2013 100%
Daniel J Defreece Individual Operational/Managerial ControlPresident May 13, 2018
Cindy a Alloway Individual Corporate DirectorBoard Member Jul 1, 2023
Tim Bricker Individual Corporate OfficerRegion President Jul 1, 2023
Corporate DirectorBoard Member Jul 1, 2023
William Barney Individual Corporate Director Jul 1, 2020
Kevin Fitzgerald Individual Corporate DirectorBod Jul 15, 2021
Nick O'Tool Individual Corporate OfficerMarket Cfo Jan 7, 2023
W-2 Managing EmployeeMarket Cfo Jan 7, 2023
Operational/Managerial ControlMarket Cfo Jan 7, 2023
Heather M Morgan Individual Corporate Director Jul 1, 2020
Kirtibala Gupta Individual Corporate DirectorBod Jul 15, 2021
John E Petersdorf Individual Corporate Director Jan 21, 2021
Mardell Wilson Individual Corporate Director Oct 15, 2020
Kelly Bacon Individual Corporate DirectorBod Jul 15, 2021

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 38

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 38

Practitioners & affiliated clinicians

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1497801567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 GRUNDMAN BLVD",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684103319",
            "telephone_number": "402-873-8951",
            "fax_number": "402-873-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 GRUNDMAN BLVD",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684103323",
            "telephone_number": "402-873-8951",
            "fax_number": "402-873-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CATHOLIC HEALTH INITIATIVES",
        "enumeration_date": "2007-01-25",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "O'TOOL",
        "authorized_official_first_name": "NICK",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "402-343-4552"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NE",
            "license": "H000128",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NE",
            "license": "H000128",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CHI Health St. Mary's",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHI Health St. Mary's",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nebraska City, NE

Sources for this page

Verify at the official NPI Registry.