Organization Active NPI

Memorial Health Care Systems

Doing business as Memorial Hospital Professional Services

  • Certified Registered Nurse Anesthetist
  • Seward, NE
National Provider Identifier
1982774964
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
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, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
MEMORIAL HEALTH CARE SYSTEMSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
08522OtherNECRNA BCBS OF NE GRP #
81088OtherNECDE BCBS OF NE

Other names 1

  • Memorial Hospital Professional Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

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.

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

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.

Verify at the official NPI Registry.