Organization Active NPI

Two Rivers Public Health Department

  • State or Local Public Health Clinic/Center
  • Holdrege, NE
National Provider Identifier
1881041390
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
TWO RIVERS PUBLIC HEALTH DEPARTMENT
Practice address
701 4TH Ave
Suite 1
Holdrege, NE 68949-2255
Phone
(308) 995-4778
Fax
(308) 995-4073
NPI assigned
May 16, 2016
Last updated
May 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Jeremy Eschliman
Title
Director
Phone
(308) 995-4778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

701 4TH Ave
Suite 1
Holdrege, NE 68949-2255

Mailing address

701 4TH Ave
Suite 1
Holdrege, NE 68949-2255
Phone (308) 995-4778

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230822004089 NE Part B Supplier - Mass Immunization (Roster Biller Only) 5799148813 Practice locations: Kearney, NE

National Provider Directory

National Provider Directory

Locations

701 4th Ave
Ste 1
Holdrege, NE 68949
Phone (308) 248-0303

516 W 11th St
Ste 108B
Kearney, NE 68845
Phone (308) 233-3100

Practitioners & affiliated clinicians

Practitioners 5

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": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1881041390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 4TH AVE",
            "address_2": "SUITE 1",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689492255",
            "telephone_number": "308-995-4778",
            "fax_number": "308-995-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 4TH AVE",
            "address_2": "SUITE 1",
            "city": "HOLDREGE",
            "state": "NE",
            "postal_code": "689492255",
            "telephone_number": "308-995-4778",
            "fax_number": "308-995-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO RIVERS PUBLIC HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "ESCHLIMAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "308-995-4778"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holdrege, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.