FAITH REGIONAL HEALTH SERVICES (NPI# 1104854199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104854199 |
| Entity Type | Organization |
| Organization Name | FAITH REGIONAL HEALTH SERVICES |
| Other Organization Name | FRHS PROFESSIONAL SERVICES |
| Practice Address |
2700 W Norfolk Ave Norfolk NE 68701-4438 |
| Mailing Address |
Po Box 869 Norfolk NE 68702-0869 |
| Practice Telephone | 4023714880 |
| Practice Fax Number | 4026447432 |
| Mailing Telephone | 4026447249 |
| Mailing Fax Number | 4026447432 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2013-05-01 |
| Authorized Official Name | MR. JOHNATHAN R. WILKER (CFO) |
| Authorized Official Telephone | 4026447249 |
| Is Organization Subpart | Y |
| Parent Organization Name | FAITH REGIONAL HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
Nursing Service Providers | ||
| N | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
Nursing Service Providers | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0538280 | 05 | |
| NE | 10025533600 | 05 | |
| NE | ZWIENER ONLY | 81002 | 01 |
| NE | BCBS DME | 36887 | 01 |
| IA | 0544858 | 05 | |
| NE | 10025533500 | 05 | |
| NE | BCBS ER GROUP | 31338 | 01 |
| Other Name | Type Code |
|---|---|
| FRHS Professional Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972608248 | Faith Regional Health Services | Assisted Living Facility | 401 N 18th St, Norfolk, NE 68701-3686 | 2006-09-13 |
| 1740384312 | Faith Regional Health Services | Clinic/Center | 1603 W Prospect Ave, Norfolk, NE 68701-3683 | 2006-09-12 |
| 1801452057 | Faith Regional Health Services | Pharmacy | 2700 W Norfolk Ave, Norfolk, NE 68701-4438 | 2019-05-14 |
| 1699891465 | Faith Regional Health Services | Pharmacy | 2700 W Norfolk Ave, Norfolk, NE 68701-4438 | 2007-03-22 |
| 1013012442 | Faith Regional Health Services | Rehabilitation Unit | 2700 W Norfolk Ave, Norfolk, NE 68701-4438 | 2006-09-13 |
| 1841395126 | Faith Regional Health Services | Home Health | 1500 Koenigstein Ave, Norfolk, NE 68701-3664 | 2006-09-13 |
| 1285739615 | Faith Regional Health Services | Skilled Nursing Facility | 1500 Koenigstein Ave, Norfolk, NE 68701-3664 | 2006-09-13 |
| 1265536395 | Faith Regional Health Services | Hospice Care, Community Based | 1500 Koenigstein Ave, Norfolk, NE 68701-3664 | 2006-09-11 |
| 1285676544 | Faith Regional Health Services | Psychiatric Unit | 2700 W Norfolk Ave, Norfolk, NE 68701-4438 | 2006-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FAITH REGIONAL HEALTH SERVICES | 2700 W Norfolk Ave, Norfolk, NE 68701-4438 |
| Street Address |
2700 W NORFOLK AVE |
| City | NORFOLK |
| State | NE |
| Zip Code | 68701-4438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063488211 | Richard D Schroder | Anesthesiology | 2700 W Norfolk Ave, Norfolk, NE 68701-4438 | 2006-02-27 |
| 1508476623 | Adam Hervert | Specialist/Technologist | 2700 W Norfolk Ave, Norfolk, NE 68701-4438 | 2020-08-04 |
| 1609485473 | Dennis L Reese | Pharmacist | 2700 W Norfolk Ave, Norfolk, NE 68701-4438 | 2020-07-28 |
| 1720612641 | Michael John Munn | Nurse Practitioner | 2700 W Norfolk Ave, Norfolk, NE 68701-4438 | 2020-02-29 |
| 1356981971 | Kari Kay Uhlir | Nurse Practitioner | 2700 W Norfolk Ave, Norfolk, NE 68701-4438 | 2020-01-11 |
| 1871147397 | Brittany M Hinrichs | Specialist/Technologist | 2700 W Norfolk Ave, Norfolk, NE 68701-4438 | 2019-08-01 |
| 1801452057 | Faith Regional Health Services | Pharmacy | 2700 W Norfolk Ave, Norfolk, NE 68701-4438 | 2019-05-14 |
| 1881259182 | Bradley J Mack | Nurse Anesthetist, Certified Registered | 2700 W Norfolk Ave, Norfolk, NE 68701-4438 | 2019-05-02 |
| 1508356676 | Kyle Gene Hilsabeck | Nurse Anesthetist, Certified Registered | 2700 W Norfolk Ave, Norfolk, NE 68701 | 2018-05-15 |
| 1386174449 | Ryan Houghton | Emergency Medicine | 2700 W Norfolk Ave, Norfolk, NE 68701-4438 | 2017-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700408465 | Women's Empowering Life Line, Inc. | Substance Abuse Rehabilitation Facility | 200 South 13th St, Norfolk, NE 68701 | 2020-05-15 |
| 1093297103 | Nicole Marie Owens | Physician Assistant | 2701 W. Norfolk Ave, Norfolk, NE 68701 | 2018-09-05 |
| 1326535410 | Healing Hands of Nebraska, PC | Otolaryngology | Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 | 2018-04-16 |
| 1356864995 | Nmg LLC | Family Medicine | 301 North 27th Street Suite 1, Norfolk, NE 68701 | 2017-07-25 |
| 1609396423 | Alison Erin Pfeifer | Physical Therapy Assistant | 1220 W Benjamin Ave #4, Norfolk, NE 68701 | 2017-06-22 |
| 1568996148 | Xanat Naranjo | Registered Nurse | 105 E. Norfolk Ave, Norfolk, NE 68701 | 2017-04-20 |
| 1194259945 | Angela Cornett | Licensed Practical Nurse | 105 E. Norfolk, Norfolk, NE 68701 | 2017-04-19 |
| 1669906400 | Melodie Ann Nielsen | Registered Nurse | 105 East Norfolk Ave, Norfolk, NE 68701 | 2017-04-19 |
| 1528519543 | Women's Empowering Life Line | Substance Abuse Rehabilitation Facility | 910 West Park Avenue, Norfolk, NE 68701 | 2016-10-14 |
| 1174983100 | Brooke Cemper | Nurse Practitioner | 2701 West Norfolk Ave, Norfolk, NE 68701 | 2016-03-03 |
| Find all providers in zip 68701 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336627207 | Sentara Medical Group | Emergency Medicine | 844 Kempsville Rd Ste 103, Norfolk, VA 23502 | 2018-08-02 |
| 1487161139 | Me Urgent Care Nebraska, Inc | Emergency Medicine | 1130 S 13th St Ste 100, Norfolk, NE 68701-5733 | 2018-01-03 |
| 1730542028 | Mark Noble | Emergency Medicine | 6379 Center Dr, Norfolk, VA 23502-4102 | 2016-04-04 |
| 1043509714 | Kaci Elizabeth Gogel | Emergency Medicine | 600 Gresham Dr Rm 304, Emergency Department, Norfolk, VA 23507-1904 | 2011-04-04 |
| 1477796936 | Peter Andrew Byers | Emergency Medicine | 600 Gresham Dr. Raleigh Blvd-304, Evms Emergency Medicine-, Norfolk, VA 23507-1999 | 2009-04-14 |
| 1750542817 | Miguel Angel Cabrera | Emergency Medicine | 1600 Granby St Apt 245, Norfolk, VA 23510-2642 | 2008-06-21 |
| 1245490051 | Virginia M Stewart | Emergency Medicine | 358 Mowbray Arch, Suite 203, Norfolk, VA 23507-2219 | 2008-06-15 |
| 1881870442 | Gene A Germano | Emergency Medicine | 850 Tidewater Dr Ste A, Norfolk, VA 23504-3300 | 2008-01-14 |
| 1437280807 | Michael Glenn Penny | Emergency Medicine | U S Marine Corps Forces Command, Health Services Support, 1468 Ingram Street, Norfolk, VA 23551-2596 | 2007-03-08 |
| 1871657171 | Jerry Lynn Mothershead | Emergency Medicine | 707 Westover Ave, Norfolk, VA 23507-1622 | 2006-12-20 |
| Find all providers in NORFOLK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.