NPIMap

Organization Active NPI

Regional West Physicians Clinic

  • Rural Health Clinic/Center
  • Morrill, NE
National Provider Identifier
1659528412
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
REGIONAL WEST PHYSICIANS CLINIC
Practice address
302 Center Ave
Morrill, NE 69358-3017
Phone
(308) 247-3475
NPI assigned
Aug 25, 2008
Last updated
Jun 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
REGIONAL WEST PHYSICIANS CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Ned P Resch
Title
Ceo
Phone
(308) 635-3711

Specialties & licenses 1

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

Addresses

Primary practice location

302 Center Ave
Morrill, NE 69358-3017

Mailing address

4021 Avenue B
Scottsbluff, NE 69361-4602
Phone (308) 630-1111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081023000058 NE Part A Provider - Rural Health Clinic 2062301609 Practice locations: Morrill, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659528412. Details of each certification follow.

Rural health clinic certification: CCN 283821

Legal name
REGIONAL WEST PHYSICIANS CLINIC
Doing business as
REGIONAL WEST PHYSICIANS CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 13, 1995
Last certification
Jun 26, 2019
Ownership / control type
2B
Most recent change of ownership
Sep 1, 2008 (3 total)
Organization structure
CorporationNon-profit
Incorporated
Jun 4, 1984 in NE
Enrollment address
302 Center Ave
Box 568
Morrill, NE 69358-3017

Other NPIs with the same Medicare PAC ID 1

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

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
28D0897586Regional West Physicians Clinic Morrill Clinic302 Center Ave, Morrill, NE 69358Certificate of waiverJan 15, 2028

National Provider Directory

National Provider Directory
Tax ID family
PHS Mitchell Medical CN5 organizations share this tax ID, including this one
Part of
PHS Mitchell Medical CN

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 14

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

NameRoleSinceShare
Mark a Hartman Individual Corporate Director Sep 28, 2015
Vincent Gene Bjorling Individual Corporate Officer Aug 29, 2008
Corporate Director Aug 29, 2008
Mark R Scanlan Individual Corporate Director Sep 25, 2017
Regional West Health Services Organization, Scottsbluff, NE Corporation, Non-profit Operational/Managerial Control Jun 4, 1984
Dorisa L Polk Individual Corporate Director Sep 19, 2016
Michael F Ickowski Sr Individual Contracted Managing EmployeeVP & Cfo Oct 31, 2016
Corporate OfficerVP & Cfo Oct 31, 2016
Corporate DirectorVP & Cfo Oct 31, 2016
Operational/Managerial ControlVP & Cfo Oct 31, 2016
Armando J Magana Individual Corporate Director Aug 29, 2008
Serozan Amroliwalla Individual Corporate Director Dec 18, 2018
W-2 Managing EmployeeVP of Medicine Dec 18, 2018
Operational/Managerial ControlVP of Medicine Dec 18, 2018
Kent T Lacey Individual Corporate Director Sep 1, 2009
Joseph T Margheim Individual Corporate Director Sep 28, 2015
Aaron J Cisar Individual W-2 Managing EmployeeMedical Director Aug 1, 2017
Operational/Managerial ControlMedical Director Aug 1, 2017
John Mentgen Individual Corporate Director Jan 1, 2015
Jeffrey Holloway Individual Corporate OfficerInterim President & Ceo Oct 14, 2019
Corporate Director Jul 1, 2012
W-2 Managing EmployeeInterim President & Ceo/VP Surge Sep 25, 2017
Operational/Managerial ControlInterim President & Ceo/VP Surge Sep 25, 2017
Deana Spreier Individual W-2 Managing EmployeeClinic Manager Aug 1, 2016
Operational/Managerial ControlClinic Manager Aug 1, 2016

Owners & managing parties with NPI records 9

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

Facilities with the same owner 3

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

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1659528412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 AVENUE B",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614602",
            "telephone_number": "308-630-1111",
            "fax_number": "308-630-1815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 CENTER AVE",
            "city": "MORRILL",
            "state": "NE",
            "postal_code": "693583017",
            "telephone_number": "308-247-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL WEST PHYSICIANS CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL WEST PHYSICIANS CLINIC",
        "enumeration_date": "2008-08-25",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "RESCH",
        "authorized_official_first_name": "NED",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-635-3711"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrill, NE

Sources for this page

Verify at the official NPI Registry.