NPIMap

Organization Active NPI

Valley County Hospital

Doing business as VCHS Medical Clinic

  • Rural Health Clinic/Center
  • Ord, NE
National Provider Identifier
1528018561
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
VALLEY COUNTY HOSPITAL
Doing business as
VCHS Medical Clinic
Practice address
2707 L St
Suite 1
Ord, NE 68862-1275
Phone
(308) 728-4202
Fax
(308) 728-3500
NPI assigned
May 11, 2006
Last updated
Dec 13, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Authorized official

Name
Ms. Ashley M. Woodward
Title
Ceo
Phone
(308) 728-4351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

2707 L St
Suite 1
Ord, NE 68862-1275

Mailing address

2707 L St
Ord, NE 68862-1275
Phone (308) 728-4200

Other names 1

  • VCHS Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050303000128 NE Part A Provider - Rural Health Clinic 7810808250 Practice locations: Ord, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1528018561. Details of each certification follow.

Rural health clinic certification: CCN 283465

Legal name
VALLEY COUNTY HOSPITAL
Doing business as
VCHS MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 1, 2004
Last certification
Apr 25, 2023
Ownership / control type
2B
Organization structure
OtherNon-profit
Enrollment address
2707 L St
Ste 1
Ord, NE 68862-1275
Related CCNs
281353

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

Other NPIs with the same Medicare PAC ID 7

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
28D0456009VCHS Medical Clinic2707 L Street, Suite 1, Ord, NE 68862Provider-performed microscopyDec 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Valley Co Hospital Medi10 organizations share this tax ID, including this one
Part of
Valley Co Hospital Medi

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 11

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

NameRoleSinceShare
Chelsea M Ortmeier Individual Corporate OfficerCfo Sep 16, 2024
W-2 Managing EmployeeCfo Sep 16, 2024
Operational/Managerial ControlCfo Sep 16, 2024
Carl L Streeter Individual Corporate Officer Jun 16, 2004
Corporate Director Jan 1, 2004
Krystal Novotny Individual W-2 Managing EmployeeAd;Clinic Manager Jun 2, 2021
Operational/Managerial ControlClinic Manager Jun 2, 2021
Craig a Trampe Individual Corporate Director Jul 1, 2024
Jennifer L Bengston Individual W-2 Managing EmployeeMD; Jan 1, 2004
Operational/Managerial ControlMedical Director Jan 1, 2004
Morley J Koll Individual Corporate Director May 1, 2014
Bruce a Lammers Individual Corporate Director May 1, 2022
Ashley M Woodward Individual Corporate OfficerCeo May 28, 2010
W-2 Managing EmployeeCeo Dec 1, 2006
Operational/Managerial ControlCeo Dec 1, 2006
Jessica L Piskorski Individual Corporate Officer Jan 19, 2022
Corporate Director Jul 1, 2019
Charles P Zangger Individual Corporate Officer Jan 17, 2024
Corporate Director Jan 1, 2022
Nathan J Flessner Individual Corporate Officer Jul 1, 2019
Corporate Director Mar 12, 2013

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734048000000",
    "number": "1528018561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 L ST",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688621275",
            "telephone_number": "308-728-4200",
            "fax_number": "308-728-7809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 L ST",
            "address_2": "SUITE 1",
            "city": "ORD",
            "state": "NE",
            "postal_code": "688621275",
            "telephone_number": "308-728-4202",
            "fax_number": "308-728-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY COUNTY HOSPITAL",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-728-4351",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VCHS Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ord, NE

Sources for this page

Verify at the official NPI Registry.