Dundy County Hospital
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Benkelman, NE
NPI 1811079775 · NPPES record last updated Dec 27, 2024
Key facts
- NPI
- 1811079775
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 270001 (NE)
- Legal business name
- DUNDY COUNTY HOSPITAL
- Practice address
- 1313 N Cheyenne St
Benkelman, NE 69021-3074 - Phone
- (308) 423-2204
- Fax
- (308) 423-5691
- NPI assigned
- Oct 19, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- DUNDY COUNTY HOSPITAL
Authorized official
- Name
- Jeremiah W Hanes
- Title
- Ceo
- Phone
- (308) 423-2204
Parent organization (reported in NPPES) 1
Owners & managing parties with NPI records 1
-
Lori L Stonehocker, D.O.
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 2
Related certifications (CCN) 1
Practitioners 11
-
Tammi Cawthra, APRN
-
Laken Marae Vrbas, APRN
-
Christy A Freehling, LIMHP, PLADC
-
J Paul Meyer, MD
-
Lori L Stonehocker, D.O.
-
David G Younger, M.D
-
David T. Stogin, PA
-
David Wayne Vankooten, M.D.
Affiliated clinicians 4
-
Tammi Cawthra, APRN
-
Lori L Stonehocker, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Hospital certification: CCN 28Z340
- Legal name
- DUNDY COUNTY HOSPITAL
- Doing business as
- DUNDY COUNTY HOSPITAL
- Organization structure
- Other · Non-profit
- Enrollment address
- 1313 N Cheyenne St
Benkelman, NE 69021-3074
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Lori L Stonehocker |
W-2 Managing Employee |
Jul 17, 2018 | |
| Operational/Managerial Control |
Jul 17, 2018 | ||
| Alicia Aldridge |
W-2 Managing Employee |
Apr 11, 2019 | |
| Operational/Managerial Control |
Apr 11, 2019 | ||
| Scott L Stahlecker |
Corporate Director | Nov 16, 2020 | |
| Rodney D Damrow |
Corporate Officer | Mar 1, 2015 | |
| Corporate Director | Mar 1, 2013 | ||
| Shane N Sis |
Corporate Officer | Sep 17, 2021 | |
| Corporate Director | Jul 1, 2020 | ||
| Robin a Shaw |
Corporate Officer | Mar 1, 2022 | |
| Corporate Director | Sep 20, 2021 | ||
| Jennifer J Brown |
Corporate Director | Jul 26, 2022 | |
| Jeremiah W Hanes |
Corporate Officer |
Oct 14, 2024 | |
| W-2 Managing Employee |
Oct 14, 2024 | ||
| Operational/Managerial Control |
Oct 14, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071128000884 | NE | Part a Provider - Critical Access Hospital | 1153239777 | Practice locations: Benkelman, NE |
National Provider Directory
- Tax ID family
- Dundy Co Hospital ER
- Part of
- Dundy Co Hospital ER
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 270001 | NE | Yes |
| Critical Access Hospital | 282NC0060X | 270001 | NE |
Addresses
Primary practice location
1313 N Cheyenne St
Benkelman, NE 69021-3074
Mailing address
PO Box 626
Benkelman, NE 69021-0626
Phone (308) 423-2204
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00570 | Other | NE | SWING-BED (BCBS OF NE) |
Other providers in Benkelman, NE
- Dundy Company School District 117
- Dundy County Ambulance Service
- Dundy County Hospital
- Dundy County Hospital
- Dundy County Hospital
- Jose Ramon Garcia Sr.
- Carol S Hofman
- Trevor L. Horner
- Kompus Aesthetics and Wellness , L. L. C.
- Jennifer Marie Leiting
All providers in Benkelman, 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 Dec 27, 2024. 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.