Organization Active NPI

Warren Memorial Hospital

Doing business as Friend Community Healthcare System

  • Medicare Defined Swing Bed Hospital Unit
  • Friend, NE
National Provider Identifier
1538264403
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
WARREN MEMORIAL HOSPITAL
Doing business as
Friend Community Healthcare System
Practice address
905 2ND Street
Friend, NE 68359-1133
Phone
(402) 947-2541
Fax
(402) 947-2811
NPI assigned
Sep 14, 2006
Reactivated
Mar 28, 2024
Last updated
Mar 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Ron Tebrink
Title
Interim Ceo
Phone
(402) 947-2541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary

Addresses

Primary practice location

905 2ND Street
Friend, NE 68359-1133

Mailing address

905 2ND Street
Friend, NE 68359-1133
Phone (402) 947-2541

Other identifiers 1

IdentifierTypeStateIssuer
54901MedicaidNE

Other names 1

  • Friend Community Healthcare System Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ekorbelik@FCHS.securechart.com Direct

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1538264403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 2ND STREET",
            "city": "FRIEND",
            "state": "NE",
            "postal_code": "683591133",
            "telephone_number": "402-947-2541",
            "fax_number": "402-947-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 2ND STREET",
            "city": "FRIEND",
            "state": "NE",
            "postal_code": "683591133",
            "telephone_number": "402-947-2541",
            "fax_number": "402-947-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARREN MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2024-03-29",
        "certification_date": "2021-04-14",
        "deactivation_date": "2024-02-07",
        "reactivation_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "TEBRINK",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "402-947-2541"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54901",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekorbelik@FCHS.securechart.com",
            "affiliation": "N",
            "endpointDescription": "FCHS Medical Records",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "905 2nd St",
            "city": "Friend",
            "state": "NE",
            "country_code": "US",
            "postal_code": "683591198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Friend Community Healthcare System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Friend, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.