NPIMap

Organization Active NPI

Good Samaritan Hospital

  • Rehabilitation Hospital Unit
  • Kearney, NE
National Provider Identifier
1972532372
Registry record updated Feb 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
070001 Issued in NE
Legal business name
GOOD SAMARITAN HOSPITAL
Practice address
10 E 31St St
Kearney, NE 68847-2926
Phone
(308) 865-7900
Fax
(308) 865-2913
NPI assigned
Jun 30, 2006
Organization subpart
Yes
Parent organization
GOOD SAMARITAN HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2022

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

Authorized official

Name
Evert Kuiper
Title
Ceo - CHI Health
Phone
(402) 343-4420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 070001 NE Primary

Addresses

Primary practice location

10 E 31St St
Kearney, NE 68847-2926

Mailing address

10 E 31St St
P.O. Box 1990
Kearney, NE 68847-2926
Phone (308) 865-7900

Other identifiers 1

IdentifierTypeStateIssuer
453OtherBLUE CROSS

Other names 1

  • CHI HEALTH GOOD SAMARITAN Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040914000826 NE Part A Provider - Hospital 6002719093 Practice locations: Kearney, NE

Hospital certification: CCN 28T009

Legal name
GOOD SAMARITAN HOSPITAL
Doing business as
CHI HEALTH GOOD SAMARITAN
Organization structure
CorporationNon-profit
Incorporated
Dec 20, 1963 in NE
Enrollment address
10 E 31St St
Kearney, NE 68847-2926
Hospital Rehabilitation Unit
Hospital subgroups
Acute care, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
CHI Health Good SamaritanCCN 28T009
Ownership
Non-profit
Certified
Jul 1, 2019

National Provider Directory

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

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 20

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

NameRoleSinceShare
CHI Nebraska Organization, Lincoln, NE Non-profit 5% Or Greater Direct Ownership Interest Aug 1, 2013 100%
Curt Michael Coleman Individual Operational/Managerial ControlPresident Aug 1, 2022
Nadine a Heimann Individual Corporate Director Jul 1, 2019
Maurita Soukup Individual Corporate Director Jul 1, 2017
Leo G Searcey Individual Corporate DirectorDirector Oct 20, 2022
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2013 100%
Dave R Taylor Individual Corporate DirectorDirector Oct 20, 2023
Daniel Morissette Individual Corporate OfficerCfo, Commonspirit Health Feb 1, 2019
OtherCfo, Commonspirit Health Sep 2, 2023
Cindy a Alloway Individual Corporate DirectorDirector Jul 1, 2023
Tim Bricker Individual Corporate OfficerMid West Div Ceo Jul 1, 2023
Corporate DirectorMid West Div Ceo Jul 1, 2023
William Barney Individual Corporate Director Jul 1, 2020
Kevin Fitzgerald Individual Corporate DirectorBod Jul 15, 2021
Nick O'Tool Individual Corporate Officer Jul 1, 2023
Operational/Managerial ControlInterim Cfo- CHI Health Jan 7, 2023
Heather M Morgan Individual Corporate Director Jul 1, 2020
Kirtibala Gupta Individual Corporate DirectorBod Jul 15, 2021
John E Petersdorf Individual Corporate Director Jan 21, 2021
William Yates Individual Corporate Director Oct 1, 2015
Mardell Wilson Individual Corporate Director Oct 15, 2020
Kathryne Alyce Cutler Individual Corporate DirectorDirector Jul 1, 2023
Kelly Bacon Individual Corporate DirectorBod Jul 15, 2021

Owners & managing parties with NPI records 2

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

Facilities with the same owner 38

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 38

Practitioners & affiliated clinicians

Affiliated clinicians 11

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644451200000",
    "number": "1972532372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E 31ST ST",
            "address_2": "P.O. BOX 1990",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472926",
            "telephone_number": "308-865-7900",
            "fax_number": "308-865-2913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 E 31ST ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472926",
            "telephone_number": "308-865-7900",
            "fax_number": "308-865-2913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SAMARITAN HOSPITAL",
        "enumeration_date": "2006-06-30",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A",
        "authorized_official_last_name": "KUIPER",
        "authorized_official_first_name": "EVERT",
        "authorized_official_title_or_position": "CEO - CHI HEALTH",
        "authorized_official_telephone_number": "402-343-4420"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NE",
            "license": "070001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "453",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHI HEALTH GOOD SAMARITAN",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CHI HEALTH GOOD SAMARITAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kearney, NE

Sources for this page

Verify at the official NPI Registry.