NPIMap

Organization Active NPI

Memorial Health Care Systems

Doing business as MHCS Clinic Professional Services

  • Family Medicine Physician
  • Seward, NE
National Provider Identifier
1699845016
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEMORIAL HEALTH CARE SYSTEMS
Doing business as
MHCS Clinic Professional Services
Practice address
300 N Columbia Ave
Seward, NE 68434-2299
Phone
(402) 643-2971
Fax
(402) 646-4605
NPI assigned
Nov 9, 2006
Last updated
Jan 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Authorized official

Name
Mr. Gregory E. Jerger
Title
Cfo
Phone
(402) 643-2971

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

300 N Columbia Ave
Seward, NE 68434-2299

Mailing address

250 N Columbia Ave
Seward, NE 68434-2248
Phone (402) 643-4800

Other names 1

  • MHCS Clinic Professional Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhcsseward@mhcs.medalliesdirect.net

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040420000611 NE Part B Supplier - Clinic/Group Practice 3274528989 Receives reassigned benefits from 56 practitioners
1 other NPI on this enrollment
Practice locations: Seward, 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

Practitioners & affiliated clinicians

Practitioners 56

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 56

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1699845016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N COLUMBIA AVE",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684342248",
            "telephone_number": "402-643-4800",
            "fax_number": "402-646-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N COLUMBIA AVE",
            "city": "SEWARD",
            "state": "NE",
            "postal_code": "684342299",
            "telephone_number": "402-643-2971",
            "fax_number": "402-646-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HEALTH CARE SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "JERGER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "402-643-2971",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhcsseward@mhcs.medalliesdirect.net",
            "affiliation": "N",
            "address_1": "300 N Columbia Ave",
            "city": "Seward",
            "state": "NE",
            "country_code": "US",
            "postal_code": "684342299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MHCS Clinic Professional Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MHCS Clinic Professional Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seward, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.