Osmond General Hospital Inc
Organization Active NPI Rural Health Clinic/Center · Osmond, NE
NPI 1710307673 · NPPES record last updated Jul 16, 2015
Key facts
- NPI
- 1710307673
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- OSMOND GENERAL HOSPITAL INC
- Practice address
- 418 N State St
Osmond, NE 68765-5722 - Phone
- (402) 748-3366
- NPI assigned
- Apr 18, 2014
- Organization subpart
- Yes
- Parent organization (as reported)
- OSMOND GENERAL HOSPITAL INC
Authorized official
- Name
- Mr. Lon M. Knievel
- Title
- Ceo
- Phone
- (402) 748-3393
Parent organization (reported in NPPES) 1
Other NPIs on the same Medicare enrollment 3
Member of 1
Practitioners 16
-
Angela Blane Chambers, PA-C
-
Samantha Kay Kizzire, APRN
-
Kevin D. Lauck, PA-C
-
Bobbie Jo Marie Miller, APRN
-
Tiffany Jo Rice, APRN
-
Alicia Anne Vandewalle, APRN
-
Katelyn Marie Anderson, MSW, CSW-PIP, QMHP
-
Derrick A. Doolittle, M.D.
-
Richard Lee Endorf, M.D.
-
Matthew J Loutzenhiser, M.D.
-
Gregory D Taylor, MD
-
Ralph James Tullo, M.D.
-
Nila M Novotny, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041130000809 | NE | Part B Supplier - Clinic/Group Practice | 4183689227 |
Receives reassigned benefits from 13 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Osmond, NE |
National Provider Directory
- Part of
- Osmond General Hospital
Locations
803 S Vivian St
Wausa, NE 68786
Phone (402) 586-2890
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
418 N State St
Osmond, NE 68765-5722
Mailing address
PO Box 370
Osmond, NE 68765-0370
Phone (402) 748-3366
Other names
- Osmond Family Practice
Other providers in Osmond, NE
- Bobbie Jo Marie Miller
- Osmond Community Schools
- Osmond General Hospital Inc
- Osmond General Hospital Inc
- Osmond General Hospital Inc
- Osmond General Hospital, Inc
- Osmond Rural Fire Protection District
- Stephanie Polt
- Tiffany Jo Rice
- Scott a. Taylor
All providers in Osmond, NE · Rural Health Clinic/Center in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2015. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.