Organization Active NPI

Southwest Nebraska Public Health Department

  • Public Health or Welfare Agency
  • McCook, NE
National Provider Identifier
1790067346
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
SOUTHWEST NEBRASKA PUBLIC HEALTH DEPARTMENT
Practice address
404 W 10TH St
MC Cook, NE 69001-2911
Phone
(308) 345-4223
Fax
(308) 345-4289
NPI assigned
Sep 9, 2011
Last updated
May 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Myra Stoney
Title
Director
Phone
(308) 345-4223

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

404 W 10TH St
MC Cook, NE 69001-2911

Mailing address

PO Box 1235
404 W 10TH St
MC Cook, NE 69001-1235
Phone (308) 345-4223

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111130000060 NE Part B Supplier - Mass Immunization (Roster Biller Only) 2466626536 Practice locations: MC Cook, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2045489Southwest Nebraska Public Health Department404 West 10TH Street, McCook, NE 69001Certificate of waiverAug 13, 2026

National Provider Directory

National Provider Directory

Locations

404 W 10th St
McCook, NE 69001
Phone (308) 345-4223

Practitioners & affiliated clinicians

Practitioners 2

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": "1315526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1790067346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1235",
            "address_2": "404 W 10TH ST",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690011235",
            "telephone_number": "308-345-4223",
            "fax_number": "308-345-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W 10TH ST",
            "city": "MC COOK",
            "state": "NE",
            "postal_code": "690012911",
            "telephone_number": "308-345-4223",
            "fax_number": "308-345-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST NEBRASKA PUBLIC HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-09",
        "last_updated": "2024-05-07",
        "certification_date": "2022-11-04",
        "status": "A",
        "authorized_official_last_name": "STONEY",
        "authorized_official_first_name": "MYRA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "308-345-4223"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McCook, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.