KEARNEY REGIONAL MEDICAL CENTER (NPI# 1053720276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053720276 |
| Entity Type | Organization |
| Organization Name | KEARNEY REGIONAL MEDICAL CENTER |
| Practice Address |
804 22nd Ave Kearney NE 68845-2206 |
| Practice Telephone | 3084553600 |
| Practice Fax Number | 3084553950 |
| Mailing Telephone | 3084553600 |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |
| Authorized Official Name | MR. LARRY SPEICHER (CEO) |
| Authorized Official Telephone | 3086276630 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | NE | Hospitals |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KEARNEY REGIONAL MEDICAL CENTER, LLC | 804 22nd Ave, Kearney, NE 68845-2206 |
| Street Address |
804 22ND AVE |
| City | KEARNEY |
| State | NE |
| Zip Code | 68845-2206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023122272 | Merlin J Wehling | Anesthesiology | 804 22nd Ave, Kearney, NE 68845-2234 | 2006-08-17 |
| 1407457211 | Jennifer Lynn Pool | Nurse Practitioner | 804 22nd Ave, Kearney, NE 68845-2206 | 2020-11-06 |
| 1225684913 | Rochelle Herrada | Nurse Practitioner | 804 22nd Ave, Kearney, NE 68845-2206 | 2019-08-17 |
| 1881256113 | Shannon Linton | Nurse Practitioner | 804 22nd Ave, Kearney, NE 68845-2206 | 2019-07-08 |
| 1497314470 | Matthew Albert Wecker | Nurse Anesthetist, Certified Registered | 804 22nd Ave, Kearney, NE 68845-2206 | 2019-06-12 |
| 1447710942 | Dynae Chere' Pofahl | Nurse Practitioner | 804 22nd Ave, Kearney, NE 68845-2206 | 2019-03-21 |
| 1285107714 | Kwang Hee Alexander Johng | Nurse Anesthetist, Certified Registered | 804 22nd Ave, Kearney, NE 68845-2206 | 2019-01-08 |
| 1760954986 | Jamie Elizabeth Schmeits | Registered Nurse | 804 22nd Ave, Kearney, NE 68845-2206 | 2018-12-28 |
| 1033685193 | Micki Carraher | Physician Assistant | 804 22nd Ave, Kearney, NE 68845-2206 | 2018-10-16 |
| 1003397605 | Jessica Scoville | Physician Assistant | 804 22nd Ave, Kearney, NE 68845-2206 | 2018-08-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465966 | Prairie Meadows Dental, PC | Clinic/Center | 1055 West 56th Street, Kearney, NE 68845 | 2020-07-30 |
| 1508408584 | Sandhills Oral & Facial Surgery LLC | Clinic/Center | 504 W 42nd Street, Kearney, NE 68845 | 2019-10-11 |
| 1699252395 | Lindustries, LLC | Clinic/Center | 4107 7th Avenue, Kearney, NE 68845 | 2018-07-25 |
| 1154846764 | Michele Ekberg | Speech-Language Pathologist | 76 Plaza Boulevard, Kearney, NE 68845 | 2017-08-04 |
| 1457721706 | Lesa Clifford | Speech-Language Pathologist | 4125 Summitt Rd, Kearney, NE 68845 | 2015-09-30 |
| 1154703353 | Andrew Michael Prososki | Family Medicine | 2403 West 47 Street Place, Kearney, NE 68845 | 2015-06-24 |
| 1710395561 | Justin Rethorst | Specialist/Technologist | 2810 West 35th St, Kearney, NE 68845 | 2014-07-24 |
| 1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
| 1386906972 | Terry L. Dunlop | Counselor | 2315 W. 39th St., Suite 109, Kearney, NE 68845 | 2012-06-11 |
| 1437431913 | Sarah Winfield Thibault | Counselor | 3532 West Capital Ave, Grand Island, NE 68845 | 2011-09-12 |
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| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265877567 | Kearney Regional Medical Center LLC | General Acute Care Hospital | 804 22nd Avenue, Kearney, NE 68845 | 2013-05-01 |
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|---|---|---|---|---|
| 1558910604 | Grand Island Regional Medical Center | General Acute Care Hospital | 3533 Prairieview Street, Grand Island, NE 68803 | 2019-09-10 |
| 1972042059 | Tuba City Regional Health Care Corporation | General Acute Care Hospital | 1911 Pacific Dr, Lincoln, NE 68506-2311 | 2017-02-22 |
| 1003362997 | Chi Health St. Elizabeth | General Acute Care Hospital | 555 S. 70th St., Lincoln, NE 68510 | 2016-08-30 |
| 1316221385 | Bryanlgh West Medical Center | General Acute Care Hospital | 2046 Herel St, Lincoln, NE 68512-3682 | 2011-10-07 |
| 1194039529 | University of Nebraska Medical Center | General Acute Care Hospital | 855 N 82nd Plz, #47, Omaha, NE 68114-3591 | 2010-07-27 |
| 1710142195 | Antelope Memorial Hospital | General Acute Care Hospital | 102 West 9th St, Box 229, Neligh, NE 68756-0229 | 2008-07-24 |
| 1548429962 | Unmc Phycisians | General Acute Care Hospital | Nebraska Medical Center Thoracic Surgery, 982315 Nebraska Medical Center, Omaha, NE 68198-0001 | 2008-06-02 |
| 1861687907 | Bryan Lgh Hospital | General Acute Care Hospital | 2300 South 16th, Lincoln, NE 68502 | 2007-09-12 |
| 1902014764 | Nancy S Gondringer | General Acute Care Hospital | 7216 Parkridge Cir, Lincoln, NE 68516-4397 | 2007-05-17 |
| 1437375805 | University of Nebraska Medical Center | General Acute Care Hospital | Unmc, Omaha, NE 68198-0001 | 2007-04-17 |
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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.