NPIMap

Organization Active NPI

Gothenburg Memorial Hospital

Doing business as Gothenburg Health Quality Programs

  • Rural Health Clinic/Center
  • Gothenburg, NE
National Provider Identifier
1962059766
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
GOTHENBURG MEMORIAL HOSPITAL
Doing business as
Gothenburg Health Quality Programs
Practice address
918 20TH St
Gothenburg, NE 69138-1237
Phone
(308) 537-3661
Fax
(308) 537-3074
NPI assigned
Aug 26, 2019
Last updated
Nov 13, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GOTHENBURG MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Authorized official

Name
Andrew D Knust
Title
Ceo
Phone
(308) 537-3661

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

918 20TH St
Gothenburg, NE 69138-1237

Mailing address

PO Box 469
Gothenburg, NE 69138-0469
Phone (308) 537-3661

Other names 1

  • GOTHENBURG HEALTH QUALITY PROGRAMS Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gothenburg Memorial Hospital3 organizations share this tax ID, including this one
Part of
Gothenburg Memorial Hospital

Other organizations with this tax ID 2

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

Ownership & related parties

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.

NPI Registry JSON

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

{
    "created_epoch": "1566777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762992000000",
    "number": "1962059766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 469",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691380469",
            "telephone_number": "308-537-3661",
            "fax_number": "308-537-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 20TH ST",
            "city": "GOTHENBURG",
            "state": "NE",
            "postal_code": "691381237",
            "telephone_number": "308-537-3661",
            "fax_number": "308-537-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTHENBURG MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOTHENBURG MEMORIAL HOSPITAL",
        "enumeration_date": "2019-08-26",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A",
        "authorized_official_last_name": "KNUST",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-537-3661"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOTHENBURG HEALTH QUALITY PROGRAMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gothenburg, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.