Nemaha County Hospital
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Auburn, NE
NPI 1790729101 · NPPES record last updated Apr 24, 2015
Key facts
- NPI
- 1790729101
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 560001 (NE)
- Legal business name
- NEMAHA COUNTY HOSPITAL
- Practice address
- 2022 13TH St
Auburn, NE 68305-1799 - Phone
- (402) 274-4366
- Fax
- (402) 274-4399
- NPI assigned
- Jun 15, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- NEMAHA COUNTY HOSPITAL
Authorized official
- Name
- Mr. Martin L Fattig
- Title
- Ceo
- Phone
- (402) 274-4366
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 3
Related certifications (CCN) 1
Practitioners 12
-
Simone Christine Martin, APRN
-
Matthew Shupe, D.O.
-
Marcell Brikho, DPM
-
Alicia K Clough, PA-C
-
Kyle D Rose, DO
-
Brady Michael Webb, DPM
-
Zin Mar Htun, MD
-
Immad Munawar, MBBS
Affiliated clinicians 4
-
Matthew J Roesner, PA-C
-
Jenna L Sobotka, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Hospital certification: CCN 28Z324
- Legal name
- NEMAHA COUNTY HOSPITAL
- Doing business as
- NEMAHA COUNTY HOSPITAL
- Organization structure
- Other · Non-profit
- Enrollment address
- 2022 13TH St
Auburn, NE 68305-1799
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Michael R Casey |
Corporate Officer | Apr 1, 2006 | |
| Corporate Director | Apr 1, 1993 | ||
| Stacy D Taylor |
W-2 Managing Employee |
Jul 18, 2007 | |
| Operational/Managerial Control |
Jul 18, 2007 | ||
| Brent Lottman |
Corporate Director | Dec 21, 2022 | |
| Martin L Fattig |
Corporate Officer |
Apr 21, 2015 | |
| W-2 Managing Employee |
Jul 22, 2002 | ||
| Operational/Managerial Control |
Jul 22, 2002 | ||
| Kay M Oliver |
Corporate Officer | May 1, 2021 | |
| Corporate Director | Nov 14, 2012 | ||
| Richard Moody |
Corporate Officer | Jan 17, 2023 | |
| Corporate Director | Apr 1, 1997 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071128000275 | NE | Part a Provider - Critical Access Hospital | 6204746480 | Practice locations: Auburn, NE |
National Provider Directory
- Tax ID family
- Nemaha Co Hospital
- Part of
- Nemaha Co Hospital
Locations
2022 13th St
Auburn, NE 68305
Phone (402) 274-4366
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 560001 | NE | Yes |
| Critical Access Hospital | 282NC0060X | 560001 | NE |
Addresses
Primary practice location
2022 13TH St
Auburn, NE 68305-1799
Mailing address
2022 13TH St
Auburn, NE 68305-1799
Phone (402) 274-4366
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00551 | Other | NE | BCBS SNF PROVIDER NUMBER |
Other providers in Auburn, NE
- Madhav Narayan
- Nemaha County Home Care
- Nemaha County Hospital
- Nemaha County Hospital
- Nemaha County Hospital
- Nemaha County Hospital
- Roxanna Faye Nickolite-Fowler
- Tonya J Nixon
- Stephanie Marie Oelke
- Alexis Leeann Owens Baker
All providers in Auburn, NE · Medicare Defined Swing Bed Hospital Unit in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.