NPIMap

Organization Active NPI

Gordon Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Gordon, NE
National Provider Identifier
1982779039
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
730001 Issued in NE
Legal business name
GORDON MEMORIAL HOSPITAL
Doing business as
Gordon Memorial Hospital
Practice address
300 East 8TH
Gordon, NE 69343-1123
Phone
(308) 282-0401
Fax
(308) 282-0431
NPI assigned
Nov 22, 2006
Last updated
Oct 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
GORDON MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Authorized official

Name
Megan M Heath, RN
Title
Ceo
Phone
(308) 282-0401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 730001 NE Primary

Addresses

Primary practice location

300 East 8TH
Gordon, NE 69343-1123

Mailing address

300 E 8TH St
Gordon, NE 69343-1123
Phone (308) 282-0401

Other names 1

  • Gordon Memorial Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040318000370 NE Part B Supplier - Clinic/Group Practice 3072403575 Receives reassigned benefits from 14 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Gordon, NE; Rushville, NE
O20071129000749 NE Part A Provider - Critical Access Hospital 3072403575 Practice locations: Gordon, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982779039. Details of each certification follow.

Hospital certification: CCN 28Z358

Legal name
GORDON MEMORIAL HOSPITAL
Doing business as
GORDON MEMORIAL HOSPITAL DISTRICT
Organization structure
GovernmentNon-profit
Enrollment address
300 E 8TH St
Gordon, NE 69343-1123

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

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Gordon Memorial Hospital3 organizations share this tax ID, including this one
Part of
Gordon Memorial 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 2

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

NameRoleSinceShare
Kelsey Smith Individual Corporate DirectorController Feb 2, 2020
W-2 Managing EmployeeController Feb 2, 2020
Operational/Managerial ControlController Feb 2, 2020
Megan Heath Individual W-2 Managing EmployeeAd; Aug 15, 2022

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Rushville ClinicRushville, NE, CCN 283451 Rural health clinic Operational/Managerial Control (100%) Nov 7, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1982779039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 8TH ST",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693431123",
            "telephone_number": "308-282-0401",
            "fax_number": "308-282-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 EAST 8TH",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693431123",
            "telephone_number": "308-282-0401",
            "fax_number": "308-282-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GORDON MEMORIAL HOSPITAL",
        "enumeration_date": "2006-11-22",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-282-0401",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NE",
            "license": "730001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gordon Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gordon Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gordon, NE

Sources for this page

Verify at the official NPI Registry.