NPIMap

Organization Active NPI

Cambridge Memorial Hospital Inc

Doing business as Tri Valley Health System

  • Critical Access Hospital
  • Cambridge, NE
National Provider Identifier
1821161043
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
310001 Issued in NE
Legal business name
CAMBRIDGE MEMORIAL HOSPITAL INC
Doing business as
Tri Valley Health System
Practice address
1305 Highway 6/34
Cambridge, NE 69022-6616
Phone
(308) 697-1526
Fax
(308) 697-3278
NPI assigned
Nov 16, 2006
Last updated
Mar 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Deborah Herzberg
Title
Ceo
Phone
(308) 697-1124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 310001 NE Primary

Addresses

Primary practice location

1305 Highway 6/34
Cambridge, NE 69022-6616

Mailing address

PO Box 488
Cambridge, NE 69022
Phone (308) 697-3329

Other names 1

  • Tri Valley Health System Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071129000024 NE Part A Provider - Critical Access Hospital 2466346077 Practice locations: Cambridge, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821161043. Details of each certification follow.

Hospital certification: CCN 28Z348

Legal name
CAMBRIDGE MEMORIAL HOSPITAL INC
Doing business as
TRI VALLEY HEALTH SYSTEM
Organization structure
CorporationNon-profit
Enrollment address
1305 Highway 6 34
Cambridge, NE 69022-6616
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Tax ID family
Cambridge Memorial Hospital Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Lavern Banzhaf Individual Corporate DirectorBoard of Director Oct 1, 2018
Clay M Jordan Individual Corporate OfficerCeo Dec 1, 2023
Julie Schultz Individual W-2 Managing EmployeeDirector of Patient Accounting Oct 7, 2002
Bethany M Marintzer Individual Corporate OfficerCfo Aug 18, 2025
John Paulsen Individual Corporate DirectorBoard of Director Oct 1, 2018

Practitioners & affiliated clinicians

Practitioners 8

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 1

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": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1821161043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "CAMBRIDGE",
            "state": "NE",
            "postal_code": "69022",
            "telephone_number": "308-697-3329",
            "fax_number": "308-697-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 HIGHWAY 6/34",
            "city": "CAMBRIDGE",
            "state": "NE",
            "postal_code": "690226616",
            "telephone_number": "308-697-1526",
            "fax_number": "308-697-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "HERZBERG",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-697-1124"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NE",
            "license": "310001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri Valley Health System",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cambridge, NE

Sources for this page

Verify at the official NPI Registry.