NPIMap

Organization Active NPI

Fillmore County Hospital

  • Orthopaedic Surgery Physician
  • Geneva, NE
National Provider Identifier
1508956467
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
722 Issued in NE
Legal business name
FILLMORE COUNTY HOSPITAL
Practice address
1900 F St
Geneva, NE 68361-2229
Phone
(402) 759-3167
Fax
(402) 759-3505
NPI assigned
Oct 13, 2006
Last updated
Apr 7, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Mrs. Jeanne L Ackland
Title
Director of Finance
Phone
(402) 759-3167

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 722 NE Primary
Psychiatry Physician 2084P0800X 19209 NE
Psychiatry Physician 2084P0800X 19273 NE
Diagnostic Radiology Physician 2085R0202X 23267 NE
Diagnostic Radiology Physician 2085R0202X 28987 NE
Diagnostic Radiology Physician 2085R0202X 25605 NE
Critical Access Hospital 282NC0060X 280001 NE
Physician Assistant 363A00000X 1324 NE
Surgical Physician Assistant 363AS0400X 1228 NE
Nurse Practitioner 363L00000X 111821 NE
Nurse Practitioner 363L00000X 110466 NE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11612 NE
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 111110 NE

Addresses

Primary practice location

1900 F St
Geneva, NE 68361-2229

Mailing address

PO Box 193
1900 F Street
Geneva, NE 68361-2229
Phone (402) 759-3167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040831000463 NE Part B Supplier - Clinic/Group Practice 9638144942 Receives reassigned benefits from 52 practitioners
Practice locations: Hebron, NE; Milford, NE; Seward, NE; Sutton, NE; Wilber, NE; Grand Island, NE; Geneva, NE; Fairmont, NE…
O20231213003424 AZ Part B Supplier - Clinic/Group Practice 9638144942 Receives reassigned benefits from 2 practitioners
Practice locations: Chandler, AZ; Phoenix, AZ

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

Locations

255 F St
Fairmont, NE 68354
Phone (402) 268-2271

610 224th
Milford, NE 68405
Phone (402) 761-3230

600 Church St
Seward, NE 68434
Phone (402) 261-0738

Practitioners & affiliated clinicians

Practitioners 66

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.

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1508956467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193",
            "address_2": "1900 F STREET",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "683612229",
            "telephone_number": "402-759-3167",
            "fax_number": "402-759-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 F ST",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "683612229",
            "telephone_number": "402-759-3167",
            "fax_number": "402-759-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FILLMORE COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "ACKLAND",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "402-759-3167",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NE",
            "license": "722",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "19209",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "19273",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "23267",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "28987",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "25605",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NE",
            "license": "280001",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1324",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NE",
            "license": "1228",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111821",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "110466",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "11612",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "111110",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.