PERKINS COUNTY HOSPITAL DISTRICT (NPI# 1720095755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720095755 |
| Entity Type | Organization |
| Organization Name | PERKINS COUNTY HOSPITAL DISTRICT |
| Other Organization Name | GRANT MEDICAL CLINIC |
| Practice Address |
912 Central Ave Grant NE 69140-3099 |
| Mailing Address |
900 Lincoln Ave Grant NE 69140-3095 |
| Practice Telephone | 3083527100 |
| Practice Fax Number | 3083527103 |
| Mailing Telephone | 3083527100 |
| Mailing Fax Number | 3083527103 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2013-07-17 |
| Authorized Official Name | JAMES LEBRUN (CEO) |
| Authorized Official Telephone | 3083527200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC0050X |
Clinic/Center Specialization: Critical Access Hospital |
4142 | NE | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Grant Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770668253 | Perkins County Hospital District | Assisted Living Facility | 910 Central Ave, Grant, NE 69140-3099 | 2006-10-25 |
| 1720639974 | Perkins County Hospital District | Clinic/Center | 221 E 10th St, Ogallala, NE 69153-1425 | 2019-09-27 |
| 1033767967 | Perkins County Hospital District | Clinic/Center | 221 E 10th St, Ogallala, NE 69153-1425 | 2019-09-04 |
| 1164670352 | Perkins County Hospital District | Durable Medical Equipment & Medical Supplies | 900 Lincoln Ave, Grant, NE 69140-3095 | 2008-09-03 |
| 1598879397 | Perkins County Hospital District | Nursing Facility/Intermediate Care Facility | 900 Lincoln Ave, Grant, NE 69140-3095 | 2006-08-18 |
| 1629086012 | Perkins County Hospital District | General Acute Care Hospital | 900 Lincoln Ave, Grant, NE 69140-3095 | 2006-08-03 |
| 1437167970 | Perkins County Hospital District | General Acute Care Hospital | 900 Lincoln Ave, Grant, NE 69140-3095 | 2006-08-03 |
| 1790792729 | Perkins County Hospital District | Clinic/Center | 912 Central Ave, Grant, NE 69140-3099 | 2006-08-02 |
| 1114933041 | Perkins County Hospital District | Medicare Defined Swing Bed Unit | 900 Lincoln Ave, Grant, NE 69140-3095 | 2006-07-31 |
| Street Address |
912 CENTRAL AVE |
| City | GRANT |
| State | NE |
| Zip Code | 69140-3099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821066705 | Traci E Draucker | Physician Assistant | 912 Central Ave, Grant, NE 69140-3099 | 2006-03-08 |
| 1083252530 | Shannon Liewer | Physician Assistant | 912 Central Ave, Grant, NE 69140-3099 | 2019-12-16 |
| 1780236828 | Marilyn Mcdaniel | Nurse Practitioner | 912 Central Ave, Grant, NE 69140-3099 | 2019-07-09 |
| 1184906422 | Angela Mae Patrick | Nurse Practitioner | 912 Central Ave, Grant, NE 69140-3099 | 2011-09-13 |
| 1932118908 | Kathy D Meyer | Nurse Practitioner | 912 Central Ave, Grant, NE 69140-3099 | 2006-08-07 |
| 1790792729 | Perkins County Hospital District | Clinic/Center | 912 Central Ave, Grant, NE 69140-3099 | 2006-08-02 |
| 1205804143 | Kristi S Kohl | Family Medicine | 912 Central Ave, Grant, NE 69140-3099 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649248220 | John Matthew Byrd | Family Medicine | 912 Central Avenue, Grant, NE 69140 | 2006-03-09 |
| 1366543365 | Colglazier Clinic | Clinic/Center | 945 Washington Avenue, Grant, NE 69140-0097 | 2006-09-25 |
| 1508969189 | Marvin Allen Swan | Dentist | 242 Central Ave, Grant, NE 69140-0863 | 2006-09-07 |
| 1528255668 | First Insight Eyecare, LLC | Optometrist | 115 W 3rd, Grant, NE 69140-0950 | 2007-10-03 |
| 1255340717 | Jorje Jette Geisert | Pharmacist | 218 Central Ave, Grant, NE 69140-3016 | 2006-08-05 |
| 1740526151 | J&j Pharms. LLC | Pharmacy | 218 Central Ave, Grant, NE 69140-3016 | 2012-12-13 |
| 1073648663 | J & J Pharmacies LLC | Pharmacy | 218 Central Ave, Grant, NE 69140-3016 | 2007-02-22 |
| 1619912045 | County of Perkins | Ambulance | 342 Central Ave, Grant, NE 69140-3021 | 2006-06-19 |
| 1285631721 | Clifford Ray Colglazier | General Practice | 945 Washington Ave, Grant, NE 69140-3044 | 2005-06-30 |
| 1235683087 | Julie Kuskie | Nurse Practitioner | 945 Washington Ave, Grant, NE 69140-3044 | 2016-08-10 |
| Find all providers in zip 69140 | ||||
| Taxonomy Code | 261QC0050X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Critical Access Hospital |
| An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639974 | Perkins County Hospital District | Clinic/Center | 221 E 10th St, Ogallala, NE 69153-1425 | 2019-09-27 |
| 1346309929 | Box Butte General Hospital | Clinic/Center | 2101 Box Butte Ave, Alliance, NE 69301-4445 | 2006-12-08 |
Please comment or provide details below to improve the information on PERKINS COUNTY HOSPITAL DISTRICT.
| 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.