Active NPI
Memorial Health Care Systems
Doing business as Memorial Hospital Professional Services
- Certified Registered Nurse Anesthetist
- Seward, NE
National Provider Identifier
1982774964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- Legal business name
- MEMORIAL HEALTH CARE SYSTEMS
- Doing business as
- Memorial Hospital Professional Services
- Practice address
- 300 N Columbia Ave
Seward, NE 68434-2299 - Phone
- (402) 643-2971
- Fax
- (402) 646-4605
- NPI assigned
- Nov 8, 2006
- Last updated
- Dec 9, 2010
- Organization subpart
- Yes
- Parent organization
- MEMORIAL HEALTH CARE SYSTEMS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregory E. Jerger
- Title
- Cfo
- Phone
- (402) 646-4628
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | Primary | ||
| Nutrition Education Nutritionist | 133NN1002X |
Addresses
Primary practice location
300 N Columbia Ave
Seward, NE 68434-2299
Mailing address
300 N Columbia Ave
Seward, NE 68434-2299
Phone (402) 646-4628
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08522 | Other | NE | CRNA BCBS OF NE GRP # |
| 81088 | Other | NE | CDE BCBS OF NE |
Other names 1
- Memorial Hospital Professional Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040420000611 | NE | Part B Supplier - Clinic/Group Practice | 3274528989 |
Receives reassigned benefits from 56 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Seward, NE |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba MHCS Clinic Professional Services
- Family Medicine Physician
- Seward, NE
- NPI 1699845016
O20040420000611
National Provider Directory
National Provider Directory- Part of
- Memorial Health Care Systems
Member organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Bryan Urgent Care Seward in Partnership with Memorial Health Care Syst
- Urgent Care Clinic/Center
- Seward, NE
- NPI 1689366189
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291852800000",
"number": "1982774964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 N COLUMBIA AVE",
"city": "SEWARD",
"state": "NE",
"postal_code": "684342299",
"telephone_number": "402-646-4628",
"fax_number": "402-646-4605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N COLUMBIA AVE",
"city": "SEWARD",
"state": "NE",
"postal_code": "684342299",
"telephone_number": "402-643-2971",
"fax_number": "402-646-4605"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEMORIAL HEALTH CARE SYSTEMS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEMORIAL HEALTH CARE SYSTEMS",
"enumeration_date": "2006-11-08",
"last_updated": "2010-12-09",
"status": "A",
"authorized_official_last_name": "JERGER",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "402-646-4628",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": null,
"license": null,
"primary": true
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRNA BCBS OF NE GRP #",
"identifier": "08522",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDE BCBS OF NE",
"identifier": "81088",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Memorial Hospital Professional Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Seward, NE
- Memorial Health Care Systems (Seward Family Medical Center, BCBS PCMH)
- Memorial Health Care Systems (Seward Family Medical Center)
- Memorial Health Care Systems (MHCS Clinic Professional Services)
- Memorial Health Care Systems (Memorial Hospital)
- Memorial Health Care Systems (Seward Family Pharmacy)
- Dustana Mencl, PLMHP
- Charisse Marie Mertz, CRNA
- Metschke Counseling Center
- Amy L Metschke, LADC
- Jonathan Carl Metschke, M.A.-LMHP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.