NPIMap

Pawnee County Memorial Hospital

Organization Active NPI Rural Health Clinic/Center · Pawnee City, NE

NPI 1851345573 · NPPES record last updated Jul 24, 2024

Key facts

NPI
1851345573
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
License
590001 (NE)
Legal business name
PAWNEE COUNTY MEMORIAL HOSPITAL
Practice address
600 I St
Pawnee City, NE 68420-3001
Phone
(402) 852-2311
Fax
(402) 852-2170
NPI assigned
May 19, 2006
Organization subpart
Yes
Parent organization (as reported)
PAWNEE COUNTY MEMORIAL HOSPITAL

Authorized official

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

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.

Other NPIs with the same Medicare PAC ID 2

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

Corporate family (same tax ID) 1

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

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

Facilities with the same owner 38

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

View all 38

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NE

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
Government · Non-profit
Enrollment address
600 I Street
Box 433
Pawnee City, NE 68420
Related CCNs
281302

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 Officer
Board Chairman		 Jul 1, 2008 33.3%
John W Werner
Individual 		Contracted Managing Employee
Ceo		 Oct 18, 2021
Carol Schaardt
Individual 		Corporate Officer
Board Member		 Jan 27, 2016 33.3%
James a Kubik
Individual 		Corporate Officer
Board Secretary		 Jan 27, 2016 33.3%

Medicare enrollment records

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

National Provider Directory

Tax ID family
Pawnee County Mem Hospital (2 organizations share this tax ID)
Part of
Pawnee County Mem Hospital

Interoperability endpoints

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

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
086036OtherNEMEDICARE GROUP NO.

Other names

  • Pawnee County Rural Health Clinic Doing business as

Electronic endpoints

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

Other providers in Pawnee City, NE

All providers in Pawnee City, NE · Rural Health Clinic/Center in Nebraska

Sources for this page

Verify at the official NPI Registry.