NPIMap

Organization Active NPI

Rock County Hospital

  • Critical Access Hospital
  • Bassett, NE
National Provider Identifier
1497824171
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
830001 Issued in NE
Legal business name
ROCK COUNTY HOSPITAL
Practice address
102 E South St
Bassett, NE 68714-5512
Phone
(402) 684-3366
Fax
(402) 684-3677
NPI assigned
Nov 7, 2006
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Mrs. Stacey Ann Knox
Title
Administrator
Phone
(402) 684-3366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 830001 NE Primary

Addresses

Primary practice location

102 E South St
Bassett, NE 68714-5512

Mailing address

102 E South St
Bassett, NE 68714-5512
Phone (402) 684-3366

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090916000535 NE Part A Provider - Critical Access Hospital 7113970138 Practice locations: Bassett, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497824171. Details of each certification follow.

Hospital certification: CCN 28Z333

Legal name
ROCK COUNTY HOSPITAL
Doing business as
ROCK COUNTY HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
102 East South Street
Bassett, NE 68714-5512
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 3

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0455570Rock County Hospital102 East South Street, Bassett, NE 68714ComplianceMay 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
Rock County Clinic10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Stacey Knox Individual Corporate DirectorAdministrator Jul 1, 2000 100%
W-2 Managing Employee Jul 1, 2000
Jackie Carpenter Individual W-2 Managing Employee Jul 1, 2000
County of Rock Organization, Bassett, NE 5% Or Greater Direct Ownership Interest Jul 1, 2000 100%

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Rock County ClinicBassett, NE, CCN 283443 Rural health clinic Operational/Managerial Control Apr 1, 2000

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

Affiliated clinicians 3

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1497824171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E SOUTH ST",
            "city": "BASSETT",
            "state": "NE",
            "postal_code": "687145512",
            "telephone_number": "402-684-3366",
            "fax_number": "402-684-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E SOUTH ST",
            "city": "BASSETT",
            "state": "NE",
            "postal_code": "687145512",
            "telephone_number": "402-684-3366",
            "fax_number": "402-684-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "KNOX",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-684-3366",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NE",
            "license": "830001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bassett, NE

Sources for this page

Verify at the official NPI Registry.