NPIMap

Organization Active NPI

Nebraska Spine Hospital, LLC

  • Special Hospital
  • Omaha, NE
National Provider Identifier
1649595448
Registry record updated May 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
NEBRASKA SPINE HOSPITAL, LLC
Practice address
6901 N 72ND St
20300
Omaha, NE 68122-1709
Phone
(402) 343-4415
NPI assigned
Apr 5, 2010
Last updated
May 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2015

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

Authorized official

Name
Howard R. Woodward, M.D.NPI 1346243755
Title
Board Chairman
Phone
(402) 496-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X Primary

Addresses

Primary practice location

6901 N 72ND St
20300
Omaha, NE 68122-1709

Mailing address

6901 N 72ND St
20300
Omaha, NE 68122-1709

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100628000892 NE Part A Provider - Hospital 1850422395 Practice locations: Omaha, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649595448. Details of each certification follow.

Hospital certification: CCN 280133

Legal name
NEBRASKA SPINE HOSPITAL LLC
Doing business as
NEBRASKA SPINE HOSPITAL LLC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Sep 9, 2010
Last certification
Sep 9, 2010
Beds
34
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
6901 N 72ND St
Ste 20300
Omaha, NE 68122-1755
Other Hospital Practice Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Nebraska Spine Hospital, LLCCCN 280133 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Nebraska Spine Hospital LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
John W McClellan Individual Corporate Director Sep 4, 2012
Unitedhealth Group Incorporated Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 1, 2023 15%
Anthony Ashby Individual Corporate DirectorBoard Member Jan 14, 2026
Alegent Creighton Health Organization, Omaha, NE For-profit 5% Or Greater Direct Ownership Interest Apr 5, 2010 51%
Douglas Page Individual Corporate DirectorTreasurer/Secretary Jun 2, 2025
Collaborative Care Holdings LLC Organization, Minnetonka, MN LLC 5% Or Greater Indirect Ownership Interest Feb 1, 2023 15%
Timothy a Burd Individual Operational/Managerial ControlBoard Chair Jan 18, 2023
Scai Holdings LLC Organization, Minnetonka, MN LLC 5% Or Greater Indirect Ownership Interest Feb 1, 2023 15%
Christopher J Acker Individual Corporate DirectorBoard Member Jun 24, 2024
United Healthcare Services Inc Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 1, 2023 15%
Health Inventures LLC Organization, Birmingham, AL LLC 5% Or Greater Indirect Ownership Interest Feb 1, 2023 15%
Nick O'Tool Individual Corporate DirectorBoard Member Mar 29, 2024
Sca Holdco, Inc. Organization, Minnetonka, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 1, 2023 15%
SC Affiliates LLC Organization, Birmingham, AL LLC 5% Or Greater Indirect Ownership Interest Feb 1, 2023 15%
Surgical Care Affiliates LLC Organization, Birmingham, AL LLC 5% Or Greater Indirect Ownership Interest Feb 1, 2023 15%
Optumhealth Holdings LLC Organization, Minnetonka, MN LLC 5% Or Greater Indirect Ownership Interest Feb 1, 2023 15%
Optum Inc Organization, Eden Prairie, MN Corporation 5% Or Greater Indirect Ownership Interest Feb 1, 2023 15%
John D Hain Individual Corporate Director Jan 1, 2025
H I Investments Holding Company LLC Organization, Birmingham, AL LLC 5% Or Greater Direct Ownership Interest Feb 1, 2023 15%
Nebraska Spine Holdings LLC Organization, Omaha, NE For-profit 5% Or Greater Direct Ownership Interest Feb 1, 2023 34%
Christopher Palumbo Individual Contracted Managing Employee Nov 27, 2017
Corporate OfficerChief Administrative Officer Nov 27, 2017
Edward Farrell Individual Corporate DirectorBoard Member Jul 16, 2025

Owners & managing parties with NPI records 4

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

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 6

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.

Affiliated clinicians 54

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

View all 54

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431388800000",
    "number": "1649595448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 N 72ND ST",
            "address_2": "20300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N 72ND ST",
            "address_2": "20300",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221709",
            "telephone_number": "402-343-4415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEBRASKA SPINE HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2015-05-12",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "BOARD CHAIRMAN",
        "authorized_official_telephone_number": "402-496-0404",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.