NPIMap

Organization Active NPI

Box Butte General Hospital

  • Rural Health Clinic/Center
  • Hemingford, NE
National Provider Identifier
1609944388
Registry record updated Dec 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
BOX BUTTE GENERAL HOSPITAL
Practice address
812 Laramie Ave
Hemingford, NE 69348-9705
Phone
(308) 487-3322
Fax
(308) 487-3323
NPI assigned
Dec 1, 2006
Organization subpart
Yes
Parent organization
BOX BUTTE GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 12, 2011

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

Authorized official

Name
Daniel W Griess
Title
Ceo
Phone
(308) 762-6660

Specialties & licenses 1

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

Addresses

Primary practice location

812 Laramie Ave
Hemingford, NE 69348-9705

Mailing address

PO Box 810
Alliance, NE 69301-0810
Phone (308) 762-6660

Other names 1

  • Greater Nebraska Medical & Surgical Services - Hemingford Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031218000378 NE Part B Supplier - Clinic/Group Practice 9638089584 Receives reassigned benefits from 112 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Alliance, NE; Hemingford, NE; Hyannis, NE
O20041215000418 NE Part A Provider - Rural Health Clinic 9638089584 Practice locations: Hemingford, NE

Rural health clinic certification: CCN 283454

Legal name
BOX BUTTE GENERAL HOSPITAL
Doing business as
GREATER NEBRASKA MEDICAL & SURGICAL SERVICES-HEMINGFORD
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 31, 2000
Last certification
Feb 5, 2020
Ownership / control type
2A
Organization structure
OtherNon-profit
Enrollment address
721 Cheyenne Ave
Hemingford, NE 69348-9755

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 3

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

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
28D0456547Greater Nebraska Medical & Surgical Services -721 Cheyenne Avenue, Hemingford, NE 69348Certificate of waiverDec 31, 2027

National Provider Directory

National Provider Directory
Part of
J B Wallace MD

Locations

2107 Box Butte Ave
Alliance, NE 69301
Phone (308) 762-2534

2101 Box Butte Ave
Ste 700
Alliance, NE 69301
Phone (308) 762-7244

2101 Box Butte Ave
Ste 200
Alliance, NE 69301
Phone (308) 762-7244

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Lori a Mazanec Individual Corporate OfficerCeo Nov 27, 2016
Tom E Cummings Individual Corporate DirectorTrustee Aug 14, 2017
County of Box Butte, State of Nebraska Organization, Alliance, NE Other Oct 1, 1976 100%
John Annen Individual Corporate DirectorTrustee Oct 1, 2013
Thomas J Furman Individual Corporate DirectorTrustee Oct 1, 2013
Barb Straub Individual Corporate DirectorTrustee Oct 1, 2022
Randy Langemeier Individual Corporate DirectorTrustee Oct 1, 2015
Michael Odell Individual Corporate OfficerCfo Mar 23, 2022
W-2 Managing EmployeeCfo Mar 23, 2022
Brian D Shelmadine Individual Corporate OfficerCeo Sep 1, 2025
Kimberly Morrow Individual Corporate OfficerCfo Oct 1, 2025
W-2 Managing EmployeeCfo Oct 1, 2025

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Box Butte General HospitalAlliance, NE, CCN 28Z360 Hospital Other (100%) Oct 1, 1976

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 136

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 136

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1609944388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 810",
            "city": "ALLIANCE",
            "state": "NE",
            "postal_code": "693010810",
            "telephone_number": "308-762-6660",
            "fax_number": "308-762-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 LARAMIE AVE",
            "city": "HEMINGFORD",
            "state": "NE",
            "postal_code": "693489705",
            "telephone_number": "308-487-3322",
            "fax_number": "308-487-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOX BUTTE GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOX BUTTE GENERAL HOSPITAL",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "GRIESS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-762-6660"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greater Nebraska Medical & Surgical Services - Hemingford",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hemingford, NE

Sources for this page

Verify at the official NPI Registry.