Active NPI
Ogallala Community Hospital
- Critical Access Hospital
- Ogallala, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Access Hospital
- License
- 47001
- Legal business name
- OGALLALA COMMUNITY HOSPITAL
- Practice address
- 2601 N Spruce St
Ogallala, NE 69153-2465 - Phone
- (308) 284-4011
- NPI assigned
- Jun 30, 2006
- Last updated
- Apr 17, 2026
- Organization subpart
- Yes
- Parent organization
- BANNER HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Gullingsrud
- Title
- Ceo
- Phone
- (308) 284-4011
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | 47001 | NE | Primary |
Addresses
Primary practice location
2601 N Spruce St
Ogallala, NE 69153-2465
Mailing address
2901 N Central Ave Ste 160
Phoenix, AZ 85012-2702
Other practice location 1
2601 N Spruce St Ste A
Ogallala, NE 69153-2465
Phone (308) 284-4011
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 880216540 | Other | RAILROAD | |
| 95521670 | Medicaid | CO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090306000252 | NE | Part A Provider - Critical Access Hospital | 3072517523 |
Receives reassigned benefits from 22 practitioners Practice locations: Ogallala, NE |
| O20100122000428 | NE | Part B Supplier - Clinic/Group Practice | 3072517523 |
Receives reassigned benefits from 25 practitioners Practice locations: Ogallala, NE |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1710915467. Details of each certification follow.
Hospital certification: CCN 281355
- Legal name
- OGALLALA COMMUNITY HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Critical access hospital
- Participating since
- Aug 1, 2002
- Last certification
- Jun 20, 2019
- Beds
- 18
- Ownership / control type
- Hospital district or authority
- Organization structure
- Corporation
- Enrollment address
- 2601 N Spruce St
Ogallala, NE 69153-2465
Related certifications (CCN) 3
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
- Medicare Defined Swing Bed Hospital Unit
- Ogallala, NE
- NPI 1003968710
-
dba Banner Health Clinic
- Rural Health Clinic/Center
- Ogallala, NE
- NPI 1396455481
Parent provider
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Medicare Defined Swing Bed Hospital Unit
- Ogallala, NE
- NPI 1003968710
3072517523
Care Compare: Hospital
Medicare Care Compare- Listed as
- Ogallala Community Hospital
- Type
- Critical Access Hospitals
- Ownership
- Government - Hospital District or Authority
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Part of
- Custer Comm Hosp Rad
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Ownership & related parties
All disclosed owners & managing parties 23
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Julie Ann Alvarado-Dubek | Corporate Officer | Feb 1, 2022 | |
| Marjorie J Bessel | Corporate Officer | Jan 1, 2018 | |
| Jean Lance | W-2 Managing Employee | Apr 21, 2022 | |
| Carole Faig | Corporate Director | Mar 1, 2026 | |
| Paris Labruzzo | Corporate Director | Feb 1, 2026 | |
| W-2 Managing Employee | Feb 1, 2026 | ||
| Timothy Gullingsrud | Corporate Director | Dec 2, 2019 | |
| W-2 Managing Employee | Dec 2, 2019 | ||
| Operational/Managerial Control | Dec 2, 2019 | ||
| Dean M Harrison | Corporate Director | Sep 1, 2023 | |
| Anne Mariucci | Corporate Director | Mar 1, 2015 | |
| Sujata Gosalia | Corporate Director | Sep 1, 2018 | |
| Brenda a Schaefer | Corporate Officer | Mar 6, 2014 | |
| Quentin P Smith | Corporate Director | Sep 1, 1999 | |
| Vicki Keiser | Corporate Director | Jun 1, 2017 | |
| Holly Gregory | Corporate Director | Feb 1, 2026 | |
| W-2 Managing Employee | Feb 1, 2026 | ||
| Sara Ward | Corporate Director | Sep 1, 2023 | |
| Michael L Butler | Corporate Director | Sep 1, 2025 | |
| Mary Schubert | Corporate Officer | Jan 1, 2024 | |
| Amy Perry | Corporate Officer | Nov 1, 2021 | |
| Rick Myers | Corporate Director | Sep 1, 2023 | |
| John F Koster | Corporate Director | Dec 11, 2015 | |
| Mark Wallace | Corporate Director | Sep 1, 2022 | |
| Christopher H Volk | Corporate Director | Dec 9, 2009 | |
| Michael Garnreiter | Corporate Director | Aug 1, 2012 | |
| Banner Health | 5% Or Greater Direct Ownership Interest | Jan 5, 2009 | 100% |
Owners & managing parties with NPI records 12
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
dba Banner Casa Grande Medical Center
- General Acute Care Hospital
- Casa Grande, AZ
- NPI 1003232976
5% Or Greater Direct Ownership Interest
-
dba Banner Payson Medical Center
- Critical Access Hospital
- Payson, AZ
- NPI 1063923340
5% Or Greater Direct Ownership Interest
-
dba Banner Payson Medical Center - Banner Health Clinic Payson
- Rural Health Clinic/Center
- Payson, AZ
- NPI 1073223012
5% Or Greater Direct Ownership Interest
-
- Multi-Specialty Clinic/Center
- Susanville, CA
- NPI 1205267549
5% Or Greater Direct Ownership Interest
-
dba Banner Payson Medical Center - Banner Health Clinic Pine
- Rural Health Clinic/Center
- Pine, AZ
- NPI 1245940287
5% Or Greater Direct Ownership Interest
-
dba Banner Hospice of Northern Colorado
- Community Based Hospice Care Agency
- Greeley, CO
- NPI 1407409964
5% Or Greater Direct Ownership Interest
-
- Radiology Clinic/Center
- Susanville, CA
- NPI 1427740570
5% Or Greater Direct Ownership Interest
-
- Durable Medical Equipment & Medical Supplies
- Casper, WY
- NPI 1528846912
5% Or Greater Direct Ownership Interest
-
dba Banner Fort Collins Medical Center
- General Acute Care Hospital
- Fort Collins, CO
- NPI 1659787554
5% Or Greater Direct Ownership Interest
-
dba Banner Payson Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Payson, AZ
- NPI 1861077414
5% Or Greater Direct Ownership Interest
-
dba Banner Ocotillo Medical Center
- General Acute Care Hospital
- Chandler, AZ
- NPI 1972139004
5% Or Greater Direct Ownership Interest
Facilities with the same owner 59
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Medicare Defined Swing Bed Hospital Unit
- Ogallala, NE
- NPI 1003968710
Banner Health
-
- Psychiatric Hospital Unit
- Phoenix, AZ
- NPI 1629122171
Banner Health
-
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1841224870
Banner Health
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1558759498
Banner Health
-
- Psychiatric Hospital Unit
- Tucson, AZ
- NPI 1801284617
Banner Health
-
- General Acute Care Hospital
- Tucson, AZ
- NPI 1265820179
Banner Health
-
- Critical Access Hospital
- Fallon, NV
- NPI 1265811251
Banner Health
-
- Rural Health Clinic/Center
- Fallon, NV
- NPI 1326568767
Banner Health
Practitioners & affiliated clinicians
Practitioners 32
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.
-
- Family Nurse Practitioner
- Ogallala, NE
- NPI 1104699784
-
- Family Nurse Practitioner
- Ogallala, NE
- NPI 1811505431
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1437387180
-
- Certified Registered Nurse Anesthetist
- Ogallala, NE
- NPI 1275923922
-
- Obstetrics & Gynecology Physician
- Beatrice, NE
- NPI 1205067667
-
- Certified Registered Nurse Anesthetist
- Kearney, NE
- NPI 1043244346
Affiliated clinicians 90
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospitalist Physician
- North Platte, NE
- NPI 1508293689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776384000000",
"number": "1710915467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 N CENTRAL AVE STE 160",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850122702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 N SPRUCE ST",
"city": "OGALLALA",
"state": "NE",
"postal_code": "691532465",
"telephone_number": "308-284-4011"
}
],
"practiceLocations": [
{
"address_1": "2601 N Spruce St Ste A",
"address_purpose": "LOCATION",
"city": "Ogallala",
"state": "NE",
"postal_code": "691532465",
"country_code": "US",
"telephone_number": "308-284-4011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OGALLALA COMMUNITY HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BANNER HEALTH",
"enumeration_date": "2006-06-30",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A",
"authorized_official_last_name": "GULLINGSRUD",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "308-284-4011"
},
"taxonomies": [
{
"code": "282NC0060X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Critical Access",
"state": "NE",
"license": "47001",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "880216540",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95521670",
"state": "CO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Ogallala, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.