JOHNSON COUNTY HOSPITAL (NPI# 1780895110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780895110 |
Entity Type | Organization |
Organization Name | JOHNSON COUNTY HOSPITAL |
Other Organization Name | JCH PROFESSIONAL SERVICES |
Practice Address |
202 High Street Tecumseh NE 68450 |
Mailing Address |
Po Box 538 Tecumseh NE 68450-0538 |
Practice Telephone | 4023353361 |
Practice Fax Number | 4023356342 |
Mailing Telephone | 4023352811 |
Mailing Fax Number | 4023352826 |
Enumeration Date | 2007-05-25 |
Last Update Date | 2018-06-06 |
Authorized Official Name | DIANE CARLIN NEWMAN (CEO/ADMINISTRATOR) |
Authorized Official Telephone | 4023353361 |
Is Organization Subpart | Y |
Parent Organization Name | JOHNSON COUNTY HOSPITAL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NE | 10025542100 | 05 | |
NE | 10025541800 | 05 |
Other Name | Type Code |
---|---|
JCH Professional Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821001405 | Johnson County Hospital | Home Health | 292 Broadway St, Tecumseh, NE 68450-2455 | 2006-08-14 |
1285624825 | Johnson County Hospital | General Acute Care Hospital | 202 High Street, Tecumseh, NE 68450-2443 | 2005-10-25 |
1821509258 | Johnson County Hospital | Durable Medical Equipment & Medical Supplies | 292 Broadway St, Tecumseh, NE 68450-2455 | 2017-10-12 |
1073865226 | Johnson County Hospital | Clinic/Center | 292 Broadway St, Tecumseh, NE 68450-2455 | 2012-10-12 |
1609087030 | Johnson County Hospital | Durable Medical Equipment & Medical Supplies | 202 High St, Ste 100, Tecumseh, NE 68450-2443 | 2007-05-25 |
1003027442 | Johnson County Hospital | Durable Medical Equipment & Medical Supplies | 620 Main St, Suite A, Adams, NE 68301-8277 | 2007-05-25 |
1841383148 | Johnson County Hospital | General Acute Care Hospital | 202 High Street, Tecumseh, NE 68450-2443 | 2006-10-02 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | JOHNSON COUNTY HOSPITAL FOUNDATION | 292 Broadway St, Tecumseh, NE 68450-2455 |
Street Address |
202 HIGH STREET |
City | TECUMSEH |
State | NE |
Zip Code | 68450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285624825 | Johnson County Hospital | General Acute Care Hospital | 202 High Street, Tecumseh, NE 68450-2443 | 2005-10-25 |
1841383148 | Johnson County Hospital | General Acute Care Hospital | 202 High Street, Tecumseh, NE 68450-2443 | 2006-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609942234 | Green River Associates Inc | Durable Medical Equipment & Medical Supplies | 123 South 3rd St, Tecumseh, NE 68450 | 2006-11-27 |
1356413298 | Keith W. Clements | Physician Assistant | 292 Broadway St., Box 60, Tecumseh, NE 68450 | 2006-11-15 |
1174694186 | Keith W. Shuey | Family Medicine | 292 Broadway Street, Box 60, Tecumseh, NE 68450 | 2006-11-13 |
1992889208 | Hasselbalch Pharmacy Inc | Pharmacist | 143 South 3rd, Tecumseh, NE 68450 | 2006-10-24 |
1447385851 | Johnson County Medical Center | Family Medicine | 292 Broadway St., Box 60, Tecumseh, NE 68450 | 2007-02-23 |
1144236548 | James I Defreece | Nurse Anesthetist, Certified Registered | 278 N 6th Street, Tecumseh, NE 68450-0748 | 2006-07-31 |
1780673350 | Todd Richard Wellensiek | Dentist | 684 N 5th St, Tecumseh, NE 68450-2055 | 2005-10-17 |
1285939108 | Judith Agnes Harper | Speech-Language Pathologist | 1133 N 3rd, Tecumseh, NE 68450-2069 | 2011-01-25 |
1154327328 | Belle Holdings, Inc. | Skilled Nursing Facility | 1133 N 3rd St, Tecumseh, NE 68450-2069 | 2005-06-22 |
1003398090 | Jackie Lynne Straube | Occupational Therapist | 1133 N 3rd St, Tecumseh, NE 68450-2069 | 2018-09-05 |
Find all providers in zip 68450 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497069298 | Deyzi E Owens | Family Medicine | 13126 Tecumseh Rd E, Ste 2, Tecumseh, ON N8N3T6 | 2010-08-04 |
1215081500 | Jeffrey A, Stickney,d.o. P C | Family Medicine | 5449 S Occidental Rd, Tecumseh, MI 49286-9782 | 2007-01-23 |
1730255357 | Kristen J Bracklein | Family Medicine | 900 Blood Rd, Tecumseh, MI 49286-9575 | 2006-11-27 |
1174694186 | Keith W. Shuey | Family Medicine | 292 Broadway Street, Box 60, Tecumseh, NE 68450 | 2006-11-13 |
1932123916 | Scott D Straka | Family Medicine | 509 Broadway St, Tecumseh, NE 68450-2306 | 2006-07-26 |
1295726628 | John Joseph Kelly | Family Medicine | 115 S Evans St, Tecumseh, MI 49286-1949 | 2005-11-03 |
1134114754 | Stephen James Bachmeyer | Family Medicine | 501 E Cummins St, Tecumseh, MI 49286-2070 | 2005-09-20 |
1699774133 | Maria Adela A. Cordoba-naguit | Family Medicine | 502 E Cummins St, Tecumseh, MI 49286-2074 | 2005-07-18 |
1447253737 | Mark Edward Rigney | Family Medicine | 502 N Broadway St, Tecumseh, OK 74873-2018 | 2005-05-31 |
1376041343 | Shawnee Medical Center Clinic, Inc | Family Medicine | 418 E Walnut St, Tecumseh, OK 74873-2200 | 2018-01-25 |
Find all providers in TECUMSEH |
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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.