NPIMap

Organization Active NPI

Morrill County Community Hospital

  • Critical Access Hospital
  • Bridgeport, NE
National Provider Identifier
1609816149
Registry record updated Oct 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
540001 Issued in NE
Legal business name
MORRILL COUNTY COMMUNITY HOSPITAL
Practice address
1313 S Street
Bridgeport, NE 69336-2563
Phone
(308) 262-1616
Fax
(308) 262-0843
NPI assigned
Jun 6, 2006
Last updated
Oct 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2014

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

Authorized official

Name
Ms. Robin L. Stuart
Title
Ceo
Phone
(308) 262-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 540001 NE Primary

Addresses

Primary practice location

1313 S Street
Bridgeport, NE 69336-2563

Mailing address

1313 S St
Bridgeport, NE 69336-2563
Phone (308) 262-1616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071128000011 NE Part A Provider - Critical Access Hospital 7719930437 Receives reassigned benefits from 26 practitioners
Practice locations: Bridgeport, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609816149. Details of each certification follow.

Hospital certification: CCN 281318

Legal name
MORRILL COUNTY COMMUNITY HOSPITAL
Doing business as
MORRILL COUNTY COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Mar 1, 2000
Last certification
May 4, 2023
Beds
20
Ownership / control type
Local
Organization structure
OtherNon-profit
Enrollment address
1313 S St
Bridgeport, NE 69336-2563

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

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Morrill County Community HospitalCCN 281318 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Chimney Rock Medical Ctr5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Sumer Krier Individual W-2 Managing EmployeeCfo Jun 19, 2023
Operational/Managerial ControlCfo Jun 19, 2023
Roger Eirich Individual Corporate Director May 25, 2022
Travis Rodak Individual Corporate Officer Sep 30, 2020
Corporate Director Sep 30, 2020
Robin L Stuart Individual Corporate OfficerCeo Jun 30, 2013
W-2 Managing EmployeeCeo Jun 30, 2013
Operational/Managerial ControlCeo Jun 30, 2013
Kenneth D Sestak Individual Corporate Officer Jan 21, 2014
Corporate Director Nov 19, 2013
Frank J Lussetto Individual Corporate Officer Jan 21, 2014
Corporate Director Sep 29, 2010
Kevin G Hall Individual Corporate Director Jun 19, 2018
Richard Wilroy Individual W-2 Managing EmployeeChief of Staff Jan 25, 2021
Operational/Managerial ControlChief of Staff Jan 25, 2021

Owners & managing parties with NPI records 1

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

Subparts reporting this organization as parent 6

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 27

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 27

Affiliated clinicians 58

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

View all 58

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412985600000",
    "number": "1609816149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 S ST",
            "city": "BRIDGEPORT",
            "state": "NE",
            "postal_code": "693362563",
            "telephone_number": "308-262-1616",
            "fax_number": "308-262-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 S STREET",
            "city": "BRIDGEPORT",
            "state": "NE",
            "postal_code": "693362563",
            "telephone_number": "308-262-1616",
            "fax_number": "308-262-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRILL COUNTY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2014-10-11",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-262-1616",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NE",
            "license": "540001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, NE

Sources for this page

Verify at the official NPI Registry.