Phelps Memorial Health Center
Organization Active NPI Critical Access Hospital · Holdrege, NE
NPI 1629035936 · NPPES record last updated Jun 6, 2019
Key facts
- NPI
- 1629035936
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- License
- 610003 (NE)
- Legal business name
- PHELPS MEMORIAL HEALTH CENTER
- Practice address
- 1215 Tibbals St
Holdrege, NE 68949-1255 - Phone
- (308) 995-2211
- Fax
- (308) 995-3223
- NPI assigned
- Apr 28, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Mark D Harrel
- Title
- Ceo
- Phone
- (308) 995-2211
Owners & managing parties with NPI records 3
-
Jeffrey Reed Berney, M.D.
-
Douglas Mark Hohman, DDS
-
William Max Sandy, M.D,
Other NPIs with the same Medicare PAC ID 3
Subparts reporting this organization as parent 6
Corporate family (same tax ID) 2
Related certifications (CCN) 2
Practitioners 102
-
Jessica Ann Bergquist, PA-C
-
Jeffrey Reed Berney, M.D.
-
Russell Carlston, D.P.M
-
Ruben Chavez, CRNA
-
Benjamin Egger, D.O.
-
Brooke N Greisen, APRN-CRNA
-
Gina Hipke, CRNA
-
Sadie Johnson, PA-C
-
Rachel Keiser, APRN
-
Quinton S Kelly, M.D.
-
Cheryl A Klausen, APRN
-
Denes Korpas, MD
-
Kendee D Koster, PA C
-
Ryan J Lieske, PA-C
-
Steven L Martin, MD
-
Sara Elizabeth McQuistan, CRNA
-
Kameron Joseph Murray, MSPAS
-
Madison Marie Nott, PHYSICIAN ASSISTANT
-
Brady James O'Hare, M.D.
-
Jamie Leigh Rooks, CRNA
-
Shane Michael Smith, M.D.
Affiliated clinicians 119
-
Tyler J Adam, M.D.
-
Jeffry Ailes, M.D.
-
Harpaul Bajwa, MD
-
Jessica Ann Bergquist, PA-C
-
Jeffrey Reed Berney, M.D.
-
Jonathan Blecha, M.D.
-
Nicole Buettner, PA-C
-
Curtis R Burhoop, M.D.
-
Austin James Burt, PA-C
-
Kenneth Sterlin Burton, M.D.
-
Russell Carlston, D.P.M
-
Ruben Chavez, CRNA
-
Charles D Christie, P.A.
-
Christopher W. Colling, M.D.
-
Mary A Curtis, M.D.
-
Michael D Dewald, M.D.
-
Steven G Dunder, MD
-
Lorraine L Edwards, M.D.
-
Benjamin Egger, D.O.
-
Scott Michael Ehresman, M.D.
Medicare Care Compare: Hospital
- Listed as
- Phelps Memorial Health Center
- Overall star rating
- ★★★★☆ 4 of 5
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Hospital certification: CCN 281362
- Legal name
- PHELPS MEMORIAL HEALTH CENTER
- Doing business as
- PHELPS MEMORIAL HEALTH CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Dec 1, 2005
- Last certification
- Jul 25, 2013
- Beds
- 25
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Mar 12, 1963 in NE
- Enrollment address
- 1215 Tibbals St
Holdrege, NE 68949-1255
All disclosed owners & managing parties 14
| Name | Role | Since | Share |
|---|---|---|---|
| Loren D Schroder |
Corporate Officer |
Aug 6, 2018 | |
| W-2 Managing Employee |
Aug 1, 2018 | ||
| Operational/Managerial Control |
Dec 1, 2001 | ||
| Michael L Pelster |
Corporate Officer | May 6, 2019 | |
| Corporate Director | Apr 18, 2017 | ||
| Mark R Kraus |
Corporate Director | Jun 2, 2020 | |
| Donald D Kraus |
Corporate Director | Apr 18, 2023 | |
| Kyle L Anderson |
Corporate Officer | Oct 2, 2023 | |
| Corporate Director | Apr 12, 2022 | ||
| Lance a Thorell |
Corporate Director | Nov 6, 2023 | |
| Howard S Kness |
Corporate Officer | Apr 21, 2022 | |
| Corporate Director | Apr 16, 2020 | ||
| Douglas M Hohman |
Corporate Director | Apr 18, 2023 | |
| Linda Jo Heiden |
Corporate Officer | Oct 2, 2023 | |
| Corporate Director | Apr 12, 2022 | ||
| Heather K McQuillan |
Corporate Director | Apr 18, 2023 | |
| Stephanie Dannehl |
Corporate Director | Apr 13, 2021 | |
| William M Sandy |
Corporate Director | Apr 16, 2024 | |
| Jeffrey R Berney |
Corporate Director | Jan 1, 2023 | |
| Operational/Managerial Control |
Jan 1, 2023 | ||
| Mark D Harrel |
Corporate Officer |
Aug 6, 2018 | |
| W-2 Managing Employee |
Aug 1, 2018 | ||
| Operational/Managerial Control |
Jul 9, 2007 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071129000753 | NE | Part a Provider - Critical Access Hospital | 9931011947 |
Receives reassigned benefits from 95 practitioners Practice locations: Holdrege, NE |
National Provider Directory
- Tax ID family
- Phelps Memorial Health CT
Interoperability endpoints
- katieluthy@pmhc.medalliesdirect.net
- madisonnott@pmhc.medalliesdirect.net
- jodypfeifer@pmhc.medalliesdirect.net
- shanesmith@pmhc.medalliesdirect.net
- charlottewirges@pmhc.medalliesdirect.net
- williamsandy@pmhc.medalliesdirect.net
- scottehresman@pmhc.medalliesdirect.net
- jeffreyberney@pmhc.medalliesdirect.net
- connielans@pmhc.medalliesdirect.net
- charleschristie@pmhc.medalliesdirect.net
- thomassmith@pmhc.medalliesdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 610003 | NE | Yes |
Addresses
Primary practice location
1215 Tibbals St
Holdrege, NE 68949-1255
Mailing address
1215 Tibbals St
Holdrege, NE 68949-1255
Phone (308) 995-2211
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142918400 | Other | US DEPT OF LABOR | |
| 100099700A | Medicaid | KS | |
| N002951 | Other | TRICARE HOSPITAL | |
| 00097 | Other | NE | BCBS HOSPITAL |
| 40-4784043 | Medicaid | MI |
Other providers in Holdrege, NE
- Dana Petit
- Phelps County School District 69-0044
- Phelps Memorial Health Center
- Phelps Memorial Health Center
- Phelps Memorial Health Center
- Phelps Memorial Health Center
- Phelps Memorial Health Center
- Phelps Memorial Health Center
- Nicole Philips
- PMHC Pharmacy Group
All providers in Holdrege, NE · Critical Access Hospital in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.