NPIMap

Organization Active NPI

Nemaha County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Auburn, NE
National Provider Identifier
1790729101
Registry record updated Apr 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
560001 Issued in 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
Last updated
Apr 24, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
NEMAHA COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2015

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

Authorized official

Name
Mr. Martin L Fattig
Title
Ceo
Phone
(402) 274-4366

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 560001 NE Primary
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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071128000275 NE Part A Provider - Critical Access Hospital 6204746480 Practice locations: Auburn, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790729101. Details of each certification follow.

Hospital certification: CCN 28Z324

Legal name
NEMAHA COUNTY HOSPITAL
Doing business as
NEMAHA COUNTY HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
2022 13TH St
Auburn, NE 68305-1799
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Nemaha County Home Care4 organizations share this tax ID, including this one
Part of
Nemaha County Home Care

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Michael R Casey Individual Corporate Officer Apr 1, 2006
Corporate Director Apr 1, 1993
Stacy D Taylor Individual W-2 Managing EmployeeCfo Jul 18, 2007
Operational/Managerial ControlCfo Jul 18, 2007
Brent Lottman Individual Corporate Director Dec 21, 2022
Martin L Fattig Individual Corporate OfficerCeo Apr 21, 2015
W-2 Managing EmployeeCeo Jul 22, 2002
Operational/Managerial ControlCeo Jul 22, 2002
Kay M Oliver Individual Corporate Officer May 1, 2021
Corporate Director Nov 14, 2012
Richard Moody Individual Corporate Officer Jan 17, 2023
Corporate Director Apr 1, 1997

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429833600000",
    "number": "1790729101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 13TH ST",
            "city": "AUBURN",
            "state": "NE",
            "postal_code": "683051799",
            "telephone_number": "402-274-4366",
            "fax_number": "402-274-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 13TH ST",
            "city": "AUBURN",
            "state": "NE",
            "postal_code": "683051799",
            "telephone_number": "402-274-4366",
            "fax_number": "402-274-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEMAHA COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEMAHA COUNTY HOSPITAL",
        "enumeration_date": "2006-06-15",
        "last_updated": "2015-04-24",
        "status": "A",
        "authorized_official_last_name": "FATTIG",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-274-4366",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NE",
            "license": "560001",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NE",
            "license": "560001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NE

Sources for this page

Verify at the official NPI Registry.