Organization Active NPI

Southeast District Health Department

  • Public Health or Welfare Agency
  • Auburn, NE
National Provider Identifier
1962863126
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10026567600MedicaidNE

Other names 1

  • Southeast District Health Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190510001767 NE Part B Supplier - Mass Immunization (Roster Biller Only) 0547503716 Practice locations: Auburn, NE; Tecumseh, NE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D2091641Southeast District Health Department2511 Schneider Avenue, Auburn, NE 68305Certificate of waiverFeb 16, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.