NPIMap

Organization Active NPI

St. Mary's Community Hospital

Doing business as CHI Health St. Mary's

  • Critical Access Hospital
  • Nebraska City, NE
National Provider Identifier
1528016995
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
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) 873-3321
Fax
(402) 873-9033
NPI assigned
May 5, 2006
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
Ambulatory Surgical Clinic/Center 261QA1903X H000128 NE
Critical Access Hospital 282NC0060X H000128 NE Primary

Addresses

Primary practice location

1301 Grundman Blvd
Nebraska City, NE 68410-3323

Mailing address

1301 Grundman Blvd
Nebraska City, NE 68410-3319
Phone (402) 873-3321

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 NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031218000943 NE Part B Supplier - Clinic/Group Practice 7113831926 Receives reassigned benefits from 60 practitioners
1 other NPI on this enrollment
Practice locations: Nebraska City, NE
O20071128000886 NE Part A Provider - Critical Access Hospital 7113831926 Receives reassigned benefits from 60 practitioners
Practice locations: Nebraska City, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528016995. Details of each certification follow.

Hospital certification: CCN 281342

Legal name
ST MARYS COMMUNITY HOSPITAL
Doing business as
CHI HEALTH ST MARYS
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 1, 2000
Last certification
Dec 4, 2025
Beds
18
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Feb 14, 1927 in NE
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).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
CHI Health St Mary'sCCN 281342 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 17

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 Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2013 100%
Operational/Managerial Control Jul 1, 2009
Marvin O'Quinn Individual OtherCSH Home Office Administrator Aug 1, 2022
Nadine a Heimann Individual Corporate Director Jul 1, 2019
Maurita Soukup Individual Corporate Director Jul 1, 2017
Commonspirit Health Organization, Englewood, CO Corporation 5% Or Greater Indirect Ownership Interest Aug 1, 2013 100%
Operational/Managerial Control Feb 2, 2007
Daniel J Defreece Individual Contracted Managing EmployeePresident May 13, 2018
William Barney Individual Corporate Director Jul 1, 2020
Kevin Fitzgerald Individual Corporate DirectorBod Jul 15, 2021
Suzanne L Hruza Individual Corporate Director Sep 18, 2014
Nick O'Tool Individual Operational/Managerial ControlInterim Cfo - CHI Health Jan 7, 2023
Heather M Morgan Individual Corporate Director Jul 1, 2020
Kirtibala Gupta Individual Corporate DirectorBod Jul 15, 2021
Evert Kuiper Individual Corporate DirectorCeo - CHI Health Jan 17, 2022
Operational/Managerial ControlCeo - CHI Health Jan 17, 2022
John E Petersdorf Individual Corporate Director Jan 21, 2021
William Yates Individual Corporate Director Oct 1, 2015
Mardell Wilson Individual Corporate Director Oct 15, 2020
Kelly Bacon Individual Corporate DirectorBod Jul 15, 2021

Owners & managing parties with NPI records 4

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

Practitioners 74

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 74

Affiliated clinicians 112

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

View all 112

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792713600000",
    "number": "1528016995",
    "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": "402-873-3321",
            "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": "402-873-3321",
            "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": "2006-05-05",
        "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": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NE",
            "license": "H000128",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NE",
            "license": "H000128",
            "primary": true
        }
    ],
    "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.