NPIMap

Organization Active NPI

Pawnee County Memorial Hospital

Doing business as Pawnee County Rural Health Clinic

  • Rural Health Clinic/Center
  • Pawnee City, NE
National Provider Identifier
1851345573
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
590001 Issued in NE
Legal business name
PAWNEE COUNTY MEMORIAL HOSPITAL
Doing business as
Pawnee County Rural Health Clinic
Practice address
600 I St
Pawnee City, NE 68420-3001
Phone
(402) 852-2311
Fax
(402) 852-2170
NPI assigned
May 19, 2006
Last updated
Jul 24, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
PAWNEE COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Mrs. John Werner
Title
Administrator
Phone
(402) 852-2231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 590001 NE Primary

Addresses

Primary practice location

600 I St
Pawnee City, NE 68420-3001

Mailing address

600 I St
Pawnee City, NE 68420-3001
Phone (402) 852-2311

Other names 1

  • Pawnee County Rural Health Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PAWNEECLINIC@pcmhrhc.cernerdirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061016000407 NE Part A Provider - Rural Health Clinic 8729971270 Practice locations: Pawnee City, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851345573. Details of each certification follow.

Rural health clinic certification: CCN 283984

Legal name
PAWNEE COUNTY MEMORIAL HOSPITAL
Doing business as
PAWNEE COUNTY RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Oct 1, 1991
Last certification
Apr 21, 2026
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
600 I Street
Box 433
Pawnee City, NE 68420
Related CCNs
281302

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).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0454840Pawnee County Rural Health Clinic600 I Street, Pawnee City, NE 68420Certificate of waiverAug 28, 2026

National Provider Directory

National Provider Directory
Tax ID family
Pawnee County Memorial Hospital2 organizations share this tax ID, including this one
Part of
Pawnee County Memorial Hospital

Other organizations with this tax ID 1

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Interoperability endpoints

  • Direct secure messaging: pawneeclinic@pcmhrhc.cernerdirect.com

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
CHI Nebraska Organization, Omaha, NE Non-profit Operational/Managerial Control Jul 1, 2016 100%
Gary Farwell Individual Corporate OfficerBoard Chairman Jul 1, 2008 33.3%
John W Werner Individual Contracted Managing EmployeeCeo Oct 18, 2021
Carol Schaardt Individual Corporate OfficerBoard Member Jan 27, 2016 33.3%
James a Kubik Individual Corporate OfficerBoard Secretary Jan 27, 2016 33.3%

Facilities with the same owner 38

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

View all 38

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1851345573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 I ST",
            "city": "PAWNEE CITY",
            "state": "NE",
            "postal_code": "684203001",
            "telephone_number": "402-852-2311",
            "fax_number": "402-852-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 I ST",
            "city": "PAWNEE CITY",
            "state": "NE",
            "postal_code": "684203001",
            "telephone_number": "402-852-2311",
            "fax_number": "402-852-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAWNEE COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAWNEE COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-852-2231",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NE",
            "license": "590001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PAWNEECLINIC@pcmhrhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Pawnee Count Memorial Hospital Rural Health Clinic Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "600 I St",
            "city": "Pawnee City",
            "state": "NE",
            "country_code": "US",
            "postal_code": "684203001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pawnee County Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pawnee County Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pawnee City, NE

Sources for this page

Verify at the official NPI Registry.