NPIMap

Organization Active NPI

Kearney Co Health Services

Doing business as Kearney County Health Services

  • Medicare Defined Swing Bed Hospital Unit
  • Minden, NE
National Provider Identifier
1992846588
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
460001 Issued in NE
Legal business name
KEARNEY CO HEALTH SERVICES
Doing business as
Kearney County Health Services
Practice address
727 E 1St St
Minden, NE 68959
Phone
(308) 832-3400
Fax
(308) 832-3414
NPI assigned
Feb 8, 2007
Last updated
Feb 14, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
KEARNEY CO HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Mr. Luke D Poore
Title
Ceo
Phone
(308) 832-3400

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 460001 NE Primary
Critical Access Hospital 282NC0060X 460001 NE

Addresses

Primary practice location

727 E 1St St
Minden, NE 68959

Mailing address

727 E 1St St
Minden, NE 68959-1705
Phone (308) 832-3400

Other names 1

  • Kearney County Health Services Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040223001142 NE Part B Supplier - Clinic/Group Practice 8820900780 Receives reassigned benefits from 24 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Minden, NE
O20071107000807 NE Part A Provider - Critical Access Hospital 8820900780 Practice locations: Minden, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992846588. Details of each certification follow.

Hospital certification: CCN 28Z306

Legal name
KEARNEY CO HEALTH SERVICES
Doing business as
KEARNEY COUNTY HEALTH SERVICES
Organization structure
OtherNon-profit
Enrollment address
727 E 1St St
Minden, NE 68959-1705
Hospital Swing-Bed Unit

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).

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Kearney County Comm Hospi3 organizations share this tax ID, including this one
Part of
Kearney County Comm Hospi

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 8

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

NameRoleSinceShare
Gavin D Blum Individual Corporate OfficerCfo Dec 16, 2019
W-2 Managing EmployeeCfo Dec 16, 2019
Operational/Managerial ControlCfo Dec 16, 2019
Andrew P Grollmes Individual Corporate Director Jan 7, 2025
Stephen W Olson Individual Corporate Officer Jan 26, 2022
Corporate Director Jan 1, 2017
Samuel L Stadler Individual Corporate Director Feb 12, 2018
Douglas J Althouse Individual W-2 Managing EmployeeMedical Staff President Jan 1, 2015
Operational/Managerial ControlMedical Staff President Jan 1, 2015
Jeffrey Hanson Individual Corporate Director Jan 1, 2012
Luke D Poore Individual Corporate OfficerCeo Apr 18, 2016
W-2 Managing EmployeeCeo Apr 18, 2016
Operational/Managerial ControlCeo Apr 18, 2016
Aaron J Dahlgren Individual Corporate Officer Jan 25, 2023
Corporate Director Apr 27, 2022

Owners & managing parties with NPI records 1

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

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 28

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 28

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1992846588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 E 1ST ST",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "689591705",
            "telephone_number": "308-832-3400",
            "fax_number": "308-832-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 E 1ST ST",
            "city": "MINDEN",
            "state": "NE",
            "postal_code": "68959",
            "telephone_number": "308-832-3400",
            "fax_number": "308-832-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNEY CO HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEARNEY CO HEALTH SERVICES",
        "enumeration_date": "2007-02-08",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "POORE",
        "authorized_official_first_name": "LUKE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "308-832-3400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NE",
            "license": "460001",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NE",
            "license": "460001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kearney County Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minden, NE

Sources for this page

Verify at the official NPI Registry.