NPIMap

Organization Active NPI

Saunders Medical Center

  • Nursing Facility/Intermediate Care Facility
  • Wahoo, NE
National Provider Identifier
1609866409
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
LTCH035 Issued in NE
Legal business name
SAUNDERS MEDICAL CENTER
Practice address
1760 County Road J
Wahoo, NE 68066-4152
Phone
(402) 443-4685
Fax
(402) 443-1433
NPI assigned
Oct 24, 2005
Last updated
Apr 7, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SAUNDERS MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Julie Rezac
Title
Chief Executive Officer
Phone
(402) 443-4191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X LTCH035 NE Primary

Addresses

Primary practice location

1760 County Road J
Wahoo, NE 68066-4152

Mailing address

1760 County Road J
Wahoo, NE 68066-4152
Phone (402) 443-4191

Other names 1

  • Saunders Medical Center LTC Other name

National Provider Directory

National Provider Directory
Tax ID family
Saunders County Health de6 organizations share this tax ID, including this one
Part of
Saunders County Health de

Other organizations with this tax ID 5

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1609866409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 COUNTY ROAD J",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680664152",
            "telephone_number": "402-443-4191",
            "fax_number": "402-443-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 COUNTY ROAD J",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680664152",
            "telephone_number": "402-443-4685",
            "fax_number": "402-443-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUNDERS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAUNDERS MEDICAL CENTER",
        "enumeration_date": "2005-10-24",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "REZAC",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "402-443-4191"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NE",
            "license": "LTCH035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saunders Medical Center LTC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Saunders Medical Center LTC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wahoo, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.