NPIMap

Organization Active NPI

Pawnee County Memorial Hospital

  • Critical Access Hospital
  • Pawnee City, NE
National Provider Identifier
1992759781
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
590001 Issued in NE
Legal business name
PAWNEE COUNTY MEMORIAL HOSPITAL
Practice address
600 I St
Pawnee City, NE 68420-3001
Phone
(402) 852-2231
Fax
(402) 852-2098
NPI assigned
May 19, 2006
Last updated
Jul 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
John Werner
Title
Administrator
Phone
(402) 852-2231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 590001 NE Primary

Addresses

Primary practice location

600 I St
Pawnee City, NE 68420-3001

Mailing address

600 I St
Pawnee City, NE 68420-3001
Phone (402) 852-2231

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PAWNEEHOSPITAL@pcmhrhc.cernerdirect.com Direct

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040322000984 NE Part B Supplier - Clinic/Group Practice 8729971270 Receives reassigned benefits from 9 practitioners
Practice locations: Pawnee City, NE
O20071127000483 NE Part A Provider - Critical Access Hospital 8729971270 Receives reassigned benefits from 14 practitioners
Practice locations: Pawnee City, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992759781. Details of each certification follow.

Hospital certification: CCN 281302

Legal name
PAWNEE COUNTY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 1, 1999
Last certification
Jan 26, 2023
Beds
17
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
600 I St
Pawnee City, NE 68420-3001
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Pawnee County Memorial HospitalCCN 281302 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Gary Farwell Individual Corporate OfficerBoard Member Jul 1, 2008 33.3%
John W Werner Individual Contracted Managing EmployeeAd; Oct 18, 2021
Carol Schaardt Individual Corporate OfficerBoard Member Feb 1, 2016 33.3%
James a Kubik Individual Corporate OfficerBoard Member Feb 1, 2016 33.3%

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

Affiliated clinicians 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1992759781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 I ST",
            "city": "PAWNEE CITY",
            "state": "NE",
            "postal_code": "684203001",
            "telephone_number": "402-852-2231",
            "fax_number": "402-852-2098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 I ST",
            "city": "PAWNEE CITY",
            "state": "NE",
            "postal_code": "684203001",
            "telephone_number": "402-852-2231",
            "fax_number": "402-852-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAWNEE COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "402-852-2231"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NE",
            "license": "590001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PAWNEEHOSPITAL@pcmhrhc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Pawnee County Memorial Hospital Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "600 I St",
            "city": "Pawnee City",
            "state": "NE",
            "country_code": "US",
            "postal_code": "684203001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pawnee City, NE

Sources for this page

Verify at the official NPI Registry.