NPIMap

Organization Active NPI

Morrill County Community Hospital

Doing business as Chimney Rock Medical Center

  • Family Medicine Physician
  • Bayard, NE
National Provider Identifier
1689891087
Registry record updated Oct 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MORRILL COUNTY COMMUNITY HOSPITAL
Doing business as
Chimney Rock Medical Center
Practice address
320 Main Street
Bayard, NE 69334-1500
Phone
(308) 586-1717
Fax
(308) 586-1263
NPI assigned
Apr 19, 2007
Last updated
Oct 11, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
MORRILL COUNTY COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2014

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

Authorized official

Name
Ms. Robin L. Stuart
Title
Ceo
Phone
(308) 262-1616

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Nurse Practitioner 363L00000X
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

320 Main Street
Bayard, NE 69334-1500

Mailing address

PO Box H
Bayard, NE 69334-0682
Phone (308) 586-1717

Other identifiers 1

IdentifierTypeStateIssuer
03135OtherNEBCBS OF NEBRASKA

Other names 1

  • Chimney Rock Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050222000993 NE Part B Supplier - Clinic/Group Practice 7719930437 Receives reassigned benefits from 26 practitioners
1 other NPI on this enrollment
Practice locations: Bridgeport, NE; Bayard, NE

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Chimney Rock Medical Ctr

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 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412985600000",
    "number": "1689891087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX H",
            "city": "BAYARD",
            "state": "NE",
            "postal_code": "693340682",
            "telephone_number": "308-586-1717",
            "fax_number": "308-586-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 MAIN STREET",
            "city": "BAYARD",
            "state": "NE",
            "postal_code": "693341500",
            "telephone_number": "308-586-1717",
            "fax_number": "308-586-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRILL COUNTY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORRILL COUNTY COMMUNITY HOSPITAL",
        "enumeration_date": "2007-04-19",
        "last_updated": "2014-10-11",
        "status": "A",
        "authorized_official_last_name": "STUART",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-262-1616",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA",
            "identifier": "03135",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chimney Rock Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bayard, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.