Community Hospital Association
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · MC Cook, NE
NPI 1912935602 · NPPES record last updated Dec 22, 2020
Key facts
- NPI
- 1912935602
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- License
- 320007 (NE)
- Legal business name
- COMMUNITY HOSPITAL ASSOCIATION
- Practice address
- 1301 E H St
MC Cook, NE 69001-3482 - Phone
- (308) 344-2650
- Fax
- (308) 344-8358
- NPI assigned
- Jun 29, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNITY HOSPITAL ASSOCIATION
Authorized official
- Name
- Mr. Troy A Bruntz
- Title
- President & Ceo
- Phone
- (308) 344-8315
Parent organization (reported in NPPES) 1
Owners & managing parties with NPI records 2
-
Lorinda Reece, M.D.
-
Ashley Marie Vontz, APRN
Other NPIs with the same Medicare PAC ID 5
Corporate family (same tax ID) 2
Related certifications (CCN) 1
Practitioners 26
-
Alyssa B Bauer, NP-C
-
Ellen Branham, CRNP
-
Evan John Geilenkirchen, C.R.N.A.
-
Todd E Hlavaty, M.D.
-
Angela L Howard, APRN
-
Kaitlyn Huxoll, PA-C
-
Catherine Jibben, DNP, PMHNP-BC
-
Matthew Nielsen, M.D.
-
Lorinda Reece, M.D.
-
Gabriel John Scheer, CRNA
-
Whitney Dawn Schoenemann, APRN
-
Alysia Nicole Sheets, P.A.-C
-
Hannah Faith Taylor, NP-C
-
Ashley Marie Vontz, APRN
-
John West, M.D.
-
Carolyn M Alexander, CRNA
-
David W Carter, CRNA
-
Erin M Engel-Fauske, CRNA
-
Benjamin J. George, M.D.
Affiliated clinicians 2
-
Matthew Nielsen, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Hospital certification: CCN 28Z363
- Legal name
- COMMUNITY HOSPITAL ASSOCIATION
- Doing business as
- COMMUNITY HOSPITAL
- Organization structure
- Corporation · Non-profit
- Incorporated
- Sep 4, 1970 in NE
- Enrollment address
- 1301 E H St
McCook, NE 69001-3482
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Michael C Lord |
Corporate Officer | Dec 20, 2023 | |
| Corporate Director | May 18, 2022 | ||
| Jana J Kmoch |
Corporate Director | Dec 19, 2018 | |
| Lorinda L Reece |
Contracted Managing Employee |
Jul 1, 2022 | |
| Operational/Managerial Control |
Jul 1, 2022 | ||
| Kurt R Vosburg |
Corporate Officer | Dec 20, 2023 | |
| Corporate Director | Dec 15, 2021 | ||
| Grant R Norgaard |
Corporate Director | Dec 20, 2023 | |
| Matthew G Nielsen |
Corporate Officer | Dec 21, 2022 | |
| Corporate Director | Dec 15, 2021 | ||
| Lori a Beeby |
Corporate Officer |
Dec 12, 2016 | |
| W-2 Managing Employee |
Dec 12, 2016 | ||
| Operational/Managerial Control |
Dec 12, 2016 | ||
| Molly L Herzberg |
Corporate Officer |
Mar 25, 2019 | |
| W-2 Managing Employee |
Mar 25, 2019 | ||
| Operational/Managerial Control |
Mar 25, 2019 | ||
| Karen Kliment Thompson |
Corporate Officer |
Jun 15, 2011 | |
| W-2 Managing Employee |
Feb 13, 2006 | ||
| Operational/Managerial Control |
Feb 13, 2006 | ||
| Troy a Bruntz |
Corporate Officer |
Jun 15, 2011 | |
| W-2 Managing Employee |
Jun 30, 2003 | ||
| Operational/Managerial Control |
Jun 30, 2003 | ||
| Sean Wolfe |
Corporate Officer |
Nov 16, 2016 | |
| W-2 Managing Employee |
Oct 19, 2016 | ||
| Operational/Managerial Control |
Oct 19, 2016 | ||
| Karen J Craw |
Corporate Director | Dec 20, 2023 | |
| Darren Esch |
Corporate Officer | Dec 15, 2021 | |
| Corporate Director | Dec 16, 2020 | ||
| Matthew B Davidson |
Corporate Director | Dec 21, 2022 | |
| Ashley Marie Vontz |
Corporate Director | Dec 21, 2022 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100908000880 | NE | Part a Provider - Critical Access Hospital | 9133101629 | Practice locations: McCook, NE |
National Provider Directory
- Tax ID family
- Community Hospital Association
- Part of
- Community Hospital Association
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | 320007 | NE | Yes |
| Critical Access Hospital | 282NC0060X | 320007 | NE |
Addresses
Primary practice location
1301 E H St
MC Cook, NE 69001-3482
Mailing address
PO Box 1328
MC Cook, NE 69001-1328
Phone (308) 344-8303
Other names
- COMMUNITY HOSPITAL
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | communityhospitalmccook@chm.medalliesdirect.net | Direct |
Other providers in MC Cook, NE
- Billie Cole
- Lydia Cole
- Community Hospital Association
- Community Hospital Association
- Community Hospital Association
- Lindsey Conroy
- Cora S. Berry PC
- Corda Communication LLC
- County of Red Willow
- Jeffery Covill
All providers in MC Cook, NE · Medicare Defined Swing Bed Hospital Unit in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.