NPIMap

Organization Active NPI

Morrill County Community Hospital

Doing business as Morrill County Hospital Clinic

  • Rural Health Clinic/Center
  • Bridgeport, NE
National Provider Identifier
1730109075
Registry record updated Oct 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MORRILL COUNTY COMMUNITY HOSPITAL
Doing business as
Morrill County Hospital Clinic
Practice address
1313 S St
Ste a
Bridgeport, NE 69336-2563
Phone
(308) 262-1755
Fax
(308) 262-0765
NPI assigned
Jul 20, 2006
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 1

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

Addresses

Primary practice location

1313 S St
Ste a
Bridgeport, NE 69336-2563

Mailing address

1313 S St
Bridgeport, NE 69336-2563
Phone (308) 262-1616

Other names 1

  • Morrill County Hospital Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070213000292 NE Part A Provider - Rural Health Clinic 7719930437 Practice locations: Bridgeport, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730109075. Details of each certification follow.

Rural health clinic certification: CCN 283430

Legal name
MORRILL COUNTY COMMUNITY HOSPITAL
Doing business as
MORRILL COUNTY HOSPITAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 18, 1996
Last certification
May 6, 2026
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
1313 S St
Ste a
Bridgeport, NE 69336-2563
Related CCNs
281318

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Chimney Rock Medical Ctr5 organizations share this tax ID, including this one
Part of
Chimney Rock Medical Ctr

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 9

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

NameRoleSinceShare
Sumer Krier Individual W-2 Managing EmployeeCfo Jun 19, 2023
Operational/Managerial ControlCfo Jun 19, 2023
Roger Eirich Individual Corporate Director May 25, 2022
Jennifer L Hiltgen Individual W-2 Managing EmployeeAd;Director of Clinical Services May 1, 2024
Operational/Managerial ControlDirector of Clinical Services May 1, 2024
Travis Rodak Individual Corporate Officer Sep 30, 2020
Corporate Director Sep 30, 2020
Robin L Stuart Individual Corporate OfficerCeo Jun 30, 2013
W-2 Managing EmployeeCeo Jun 30, 2013
Operational/Managerial ControlCeo Jun 30, 2013
Kenneth D Sestak Individual Corporate Officer Jan 21, 2014
Corporate Director Nov 19, 2013
Frank J Lussetto Individual Corporate Officer Jan 21, 2014
Corporate Director Sep 29, 2010
Kevin G Hall Individual Corporate Director Jun 19, 2018
Richard Wilroy Individual W-2 Managing EmployeeMD; Jan 25, 2021
Operational/Managerial ControlMedical Director Jan 25, 2021

Owners & managing parties with NPI records 1

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

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 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412985600000",
    "number": "1730109075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 S ST",
            "city": "BRIDGEPORT",
            "state": "NE",
            "postal_code": "693362563",
            "telephone_number": "308-262-1616",
            "fax_number": "308-262-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 S ST",
            "address_2": "STE A",
            "city": "BRIDGEPORT",
            "state": "NE",
            "postal_code": "693362563",
            "telephone_number": "308-262-1755",
            "fax_number": "308-262-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRILL COUNTY COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORRILL COUNTY COMMUNITY HOSPITAL",
        "enumeration_date": "2006-07-20",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morrill County Hospital Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bridgeport, NE

Sources for this page

Verify at the official NPI Registry.