NPIMap

Organization Active NPI

Good Neighbor Community Health Center

Doing business as Good Neighbor Clinic Fremont

  • Federally Qualified Health Center (FQHC)
  • Fremont, NE
National Provider Identifier
1902287261
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
GOOD NEIGHBOR COMMUNITY HEALTH CENTER
Doing business as
Good Neighbor Clinic Fremont
Practice address
2740 N Clarkson St
Fremont, NE 68025-7716
Phone
(402) 721-0951
Fax
(402) 721-0804
NPI assigned
Jun 12, 2015
Last updated
Oct 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Authorized official

Name
Jonathan D Holland
Title
Ceo
Phone
(402) 562-7500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NE Primary

Addresses

Primary practice location

2740 N Clarkson St
Fremont, NE 68025-7716

Mailing address

4321 41St Ave
Columbus, NE 68601-2131
Phone (402) 562-8952

Other names 1

  • Good Neighbor Clinic Fremont Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150624001057 NE Part B Supplier - Clinic/Group Practice 0840100392 Receives reassigned benefits from 13 practitioners
Practice locations: Fremont, NE
O20150728003781 NE Part A Provider - Federally Qualified Health Center (FQHC) 0840100392 Practice locations: Fremont, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902287261. Details of each certification follow.

Federally qualified health center certification: CCN 281834

Legal name
GOOD NEIGHBOR COMMUNITY HEALTH CENTER
Doing business as
GOOD NEIGHBOR CLINIC FREMONT
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 29, 2015
Last certification
Jul 29, 2015
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
May 8, 2003 in NE
Enrollment address
2740 N Clarkson St
Fremont, NE 68025-7716

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Good Neighbor Comm HLTH Ctr8 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.

Locations

200 W 10th St
Schuyler, NE 68661
Phone (402) 352-5514

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Michelle Ann Bittner Individual Corporate Director Jan 1, 2021
Elizabeth Rodriguez Individual Corporate Director Jan 23, 2020
Troy Fisher Individual Corporate Director Sep 17, 2021
Mary Staub Individual Corporate Director Jan 26, 2022
Maria Gonzalez Individual Corporate Director Oct 23, 2014
Wendy Ramaekers Individual Corporate Director Jan 26, 2022
Ed Wemhoff Individual Corporate OfficerSecretary Jul 1, 2016
Stacy Leu Individual Corporate Director Sep 17, 2021
Terri R Ford Wolfgram Individual Corporate Officer Mar 14, 2022
Amanda Franzen Individual W-2 Managing Employee Jan 1, 2021
Ralph Horacek Individual Corporate Director Jan 26, 2022
Matthew S Pieper Individual Corporate Director Apr 28, 2022
Connie Peters Individual Corporate OfficerBoard Vice Chairman Jan 1, 2016
Cassandra Bormann Individual W-2 Managing Employee Jan 1, 2022

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759881600000",
    "number": "1902287261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 41ST AVE",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686012131",
            "telephone_number": "402-562-8952",
            "fax_number": "402-564-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 N CLARKSON ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680257716",
            "telephone_number": "402-721-0951",
            "fax_number": "402-721-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD NEIGHBOR COMMUNITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-12",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-562-7500"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Neighbor Clinic Fremont",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Neighbor Clinic Fremont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, NE

Sources for this page

Verify at the official NPI Registry.