NPIMap

Organization Active NPI

Butler County Health Care Center

  • Critical Access Hospital
  • David City, NE
National Provider Identifier
1790780237
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
090001 Issued in NE
Legal business name
BUTLER COUNTY HEALTH CARE CENTER
Practice address
372 S 9TH St
David City, NE 68632-2116
Phone
(402) 367-1200
Fax
(402) 367-1350
NPI assigned
Jun 20, 2005
Last updated
Sep 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Authorized official

Name
Donald T Naiberk
Title
Administrator
Phone
(402) 367-1200

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
AudiologistGroup: 193200000X MULTI-SPECIALTY GROUP 231H00000X
Critical Access Hospital 282NC0060X 090001 NE Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X

Addresses

Primary practice location

372 S 9TH St
David City, NE 68632-2116

Mailing address

372 S 9TH St
David City, NE 68632-2116
Phone (402) 367-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070305000113 NE Part A Provider - Critical Access Hospital 9739281106 Receives reassigned benefits from 20 practitioners
Practice locations: David City, NE
O20200523000123 NE Part B Supplier - Clinic/Group Practice 9739281106 Receives reassigned benefits from 20 practitioners
Practice locations: David City, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790780237. Details of each certification follow.

Hospital certification: CCN 281332

Legal name
BUTLER COUNTY HEALTH CARE CENTER
Doing business as
BUTLER COUNTY HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2000
Last certification
Feb 8, 2024
Beds
20
Ownership / control type
Local
Organization structure
OtherNon-profit
Enrollment address
372 S 9TH St
David City, NE 68632-2116
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Butler County HealthCCN 281332 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Donald T Naiberk Individual Corporate OfficerCeo Jun 3, 2020
W-2 Managing EmployeeCeo Jul 31, 2000
Operational/Managerial ControlCeo Jul 31, 2000
The County of Butler, Nebraska Organization, David City, NE 5% Or Greater Direct Ownership Interest Nov 1, 1973 100%
Jodi Beth Prochaska Individual W-2 Managing EmployeeCfo May 22, 2013
Operational/Managerial ControlCfo May 22, 2013

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

Affiliated clinicians 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632873600000",
    "number": "1790780237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 S 9TH ST",
            "city": "DAVID CITY",
            "state": "NE",
            "postal_code": "686322116",
            "telephone_number": "402-367-1200",
            "fax_number": "402-367-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 S 9TH ST",
            "city": "DAVID CITY",
            "state": "NE",
            "postal_code": "686322116",
            "telephone_number": "402-367-1200",
            "fax_number": "402-367-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTLER COUNTY HEALTH CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "NAIBERK",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-367-1200"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NE",
            "license": "090001",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in David City, NE

Sources for this page

Verify at the official NPI Registry.