CRETE AREA MEDICAL CENTER (NPI# 1245281138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245281138 |
| Entity Type | Organization |
| Organization Name | CRETE AREA MEDICAL CENTER |
| Practice Address |
2910 Betten Dr Crete NE 68333-3084 |
| Mailing Address |
Po Box 220 Crete NE 68333-0220 |
| Practice Telephone | 4028262102 |
| Practice Fax Number | 4028267950 |
| Mailing Telephone | 4028262102 |
| Mailing Fax Number | 4028267950 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-07-14 |
| Authorized Official Name | MS. STEPHANIE A BOLDT (PRESIDENT & CEO) |
| Authorized Official Telephone | 4028262102 |
| Is Organization Subpart | Y |
| Parent Organization Name | CRETE AREA MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
Nursing Service Providers | ||
| N | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
Allopathic & Osteopathic Physicians | ||
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | RAILROAD MEDICARE | CJ5613 | 01 |
| NE | BCBS OF NEBRASKA | 35536 | 01 |
| NE | BCBS OF NEBRASKA | 08802 | 01 |
| NE | BCBS OF NEBRASKA | 38175 | 01 |
| NE | BCBS OF NEBRASKA | 81078 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588614481 | Crete Area Medical Center | Durable Medical Equipment & Medical Supplies | 203 W 4th St, Wilber, NE 68465-2457 | 2006-05-11 |
| 1841240744 | Crete Area Medical Center | Clinic/Center | 2910 Betten Dr, Crete, NE 68333-3084 | 2006-05-11 |
| 1699217588 | Crete Area Medical Center | Clinic/Center | 1210 2nd St, Friend, NE 68359-1116 | 2016-11-09 |
| 1518918408 | Crete Area Medical Center | General Acute Care Hospital | 2910 Betten Dr, Crete, NE 68333-3084 | 2006-05-15 |
| 1063463958 | Crete Area Medical Center | General Acute Care Hospital | 2910 Betten Dr, Crete, NE 68333-3084 | 2006-05-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CRETE AREA MEDICAL CENTER | 2910 Betten Dr, Crete, NE 68333-3084 |
| Street Address |
2910 BETTEN DR |
| City | CRETE |
| State | NE |
| Zip Code | 68333-3084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841240744 | Crete Area Medical Center | Clinic/Center | 2910 Betten Dr, Crete, NE 68333-3084 | 2006-05-11 |
| 1104346139 | Quality Life Counseling LLC | Counselor | 2910 Betten Dr, Crete, NE 68333-3084 | 2017-06-21 |
| 1881125763 | Ryan Buse | Family Medicine | 2910 Betten Dr, Crete, NE 68333-3084 | 2017-03-23 |
| 1760830335 | Matthew J Roesner | Physician Assistant | 2910 Betten Dr, Crete, NE 68333-3084 | 2016-05-24 |
| 1518340983 | Anna Kirsten Warnes | Registered Nurse | 2910 Betten Dr, Crete, NE 68333-3084 | 2015-07-03 |
| 1699010702 | Oscar Samuel Lucar | Physician Assistant | 2910 Betten Dr, Crete, NE 68333 | 2012-11-29 |
| 1093069379 | Erica Elizabeth Harms | Dietitian, Registered | 2910 Betten Dr, Crete, NE 68333-3084 | 2012-11-07 |
| 1003173311 | Mitchell E. Ebke | Nurse Anesthetist, Certified Registered | 2910 Betten Dr, Crete, NE 68333-3084 | 2012-04-12 |
| 1205101607 | Abby Cole | Physician Assistant | 2910 Betten Dr, Crete, NE 68333-3084 | 2012-03-19 |
| 1063700458 | Christensen Audiology & Hearing Aid Center LLC | Audiologist-Hearing Aid Fitter | 2910 Betten Dr, Crete, NE 68333-3084 | 2011-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833597 | Mackenzie Riedel | Psychologist | Crete Public Schools, 920 Linden Ave, Crete, NE 68333 | 2019-10-25 |
| 1205208725 | Kristy Denise Miller | Specialist | 309 East 11th Street, Crete, NE 68333 | 2015-10-23 |
| 1063733988 | Seth Lauterbach | Physician Assistant | 1017 Grove Avenue, Crete, NE 68333 | 2010-06-15 |
| 1700821576 | Victoria R Rethmeier | Dietitian, Registered | 2910 Betten Drive, Crete, NE 68333 | 2006-06-17 |
| 1841246170 | Crete Physical Therapy, LLC | Physical Therapist | 1105 E Highway 33, Crete, NE 68333 | 2006-05-26 |
| 1528140555 | Troy Lee Miller | Family Medicine | 2910 Betten Drive, Crete, NE 68333 | 2006-10-19 |
| 1518911379 | Richard Allen Felsing | Chiropractor | 1314 Main Ave, Crete, NE 68333-1504 | 2006-05-19 |
| 1831283316 | Bkm Inc | Pharmacy | 1302 Linden Ave, Crete, NE 68333-1554 | 2006-10-02 |
| 1861622094 | Traci Ann Phipps | Massage Therapist | 1542 Hawthorne Ave, Crete, NE 68333-1627 | 2009-07-22 |
| 1659491108 | James Edward Jirovec | Dentist | 1304 Kingwood Ave, Crete, NE 68333-1641 | 2007-03-29 |
| Find all providers in zip 68333 | ||||
| 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 |
|---|---|---|---|---|
| 1871672451 | St Margaret Mercy Healthcare Centers, Inc. | Family Medicine | 1028 E Steger Rd, Crete, IL 60417-1362 | 2006-11-03 |
| 1386256683 | Innovative Community Health Institute LLC | Family Medicine | 969 E Highway 33, Crete, NE 68333-2547 | 2020-08-18 |
| 1851859334 | Innovative Community Health Institute LLC | Family Medicine | 969 E Highway 33, Crete, NE 68333-2547 | 2019-03-04 |
| 1881125763 | Ryan Buse | Family Medicine | 2910 Betten Dr, Crete, NE 68333-3084 | 2017-03-23 |
| 1790123982 | Josue Daniel Gutierrez | Family Medicine | 969 E Highway 33, Crete, NE 68333-2547 | 2013-06-10 |
| 1093956922 | South Suburban Family Health, Sc | Family Medicine | 1028 E Steger Rd, Crete, IL 60417-1362 | 2009-03-24 |
| 1972623312 | Kate Elizabeth Hesser | Family Medicine | 2910 Betten Dr, Crete, NE 68333-3084 | 2007-03-30 |
| 1548313521 | Jason Kenneth Hesser | Family Medicine | 2910 Betten Dr, Crete, NE 68333-3084 | 2007-01-21 |
| 1528140555 | Troy Lee Miller | Family Medicine | 2910 Betten Drive, Crete, NE 68333 | 2006-10-19 |
| 1376654798 | Walter E Gardner | Family Medicine | 969 E Highway 33, Crete, NE 68333-2547 | 2006-08-31 |
| Find all providers in CRETE | ||||
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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.