Active NPI
Southeast District Health Department
- Public Health or Welfare Agency
- Auburn, NE
National Provider Identifier
1962863126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- SOUTHEAST DISTRICT HEALTH DEPARTMENT
- Doing business as
- Southeast District Health Department
- Practice address
- 2511 Schneider Ave
Auburn, NE 68305-3054 - Phone
- (402) 274-3993
- Fax
- (402) 274-3967
- NPI assigned
- Mar 16, 2016
- Last updated
- Apr 7, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Grant Brueggemann, MPH
- Title
- Director
- Phone
- (402) 274-3993
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | NE | Primary |
Addresses
Primary practice location
2511 Schneider Ave
Auburn, NE 68305-3054
Mailing address
2511 Schneider Ave
Auburn, NE 68305-3054
Phone (402) 274-3993
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026567600 | Medicaid | NE |
Other names 1
- Southeast District Health Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190510001767 | NE | Part B Supplier - Mass Immunization (Roster Biller Only) | 0547503716 | Practice locations: Auburn, NE; Tecumseh, NE |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D2091641 | Southeast District Health Department | Certificate of waiver | Feb 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
2511 Schneider Ave
Auburn, NE 68305
Phone (402) 274-3993
292 Broadway St
Tecumseh, NE 68450
Phone (402) 274-3993
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Community Health Registered Nurse
- Auburn, NE
- NPI 1871234245
-
- Community Health Registered Nurse
- Auburn, NE
- NPI 1073247979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649289600000",
"number": "1962863126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2511 SCHNEIDER AVE",
"city": "AUBURN",
"state": "NE",
"postal_code": "683053054",
"telephone_number": "402-274-3993",
"fax_number": "402-274-3967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2511 SCHNEIDER AVE",
"city": "AUBURN",
"state": "NE",
"postal_code": "683053054",
"telephone_number": "402-274-3993",
"fax_number": "402-274-3967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST DISTRICT HEALTH DEPARTMENT",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-16",
"last_updated": "2022-04-07",
"certification_date": "2022-04-07",
"status": "A",
"authorized_official_last_name": "BRUEGGEMANN",
"authorized_official_first_name": "GRANT",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "402-274-3993",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MPH"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026567600",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Southeast District Health Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Auburn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.