CITY OF GENOA (NPI# 1710275060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710275060 |
| Entity Type | Organization |
| Organization Name | CITY OF GENOA |
| Other Organization Name | GENOA COMMUNITY HOSPITAL/LTC |
| Practice Address |
706 Ewing Avenue Genoa NE 68640-3035 |
| Mailing Address |
Po Box 310 Genoa NE 68640-0310 |
| Practice Telephone | 4029932283 |
| Practice Fax Number | 4029932373 |
| Mailing Telephone | 4029932283 |
| Mailing Fax Number | 4029932373 |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | AMANDA ROEBUCK (CEO) |
| Authorized Official Telephone | 4029934583 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 554002 | NE | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Genoa Community Hospital/LTC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649228511 | City of Genoa | General Acute Care Hospital | 706 Ewing St, Genoa, NE 68640-3035 | 2006-05-04 |
| 1487621561 | City of Genoa | Ambulance | 516 Willard Ave, Genoa, NE 68640-3039 | 2006-03-07 |
| 1386157071 | City of Genoa | Clinic/Center | 303 Broadway St, Fullerton, NE 68638-3152 | 2017-11-16 |
| 1720505522 | City of Genoa | Clinic/Center | 505 S Park St, Genoa, NE 68640-3036 | 2017-08-23 |
| 1417395955 | City of Genoa | General Acute Care Hospital | 706 Ewing St, Genoa, NE 68640-3035 | 2013-06-06 |
| 1982979894 | City of Genoa | Hospice, Inpatient | 706 Ewing St, Genoa, NE 68640-3035 | 2012-03-12 |
| 1356638175 | City of Genoa | Assisted Living Facility | 706 Ewing St, Genoa, NE 68640-3035 | 2011-06-30 |
| 1104859206 | City of Genoa | Clinic/Center | 505 S Park St, Genoa, NE 68640-3036 | 2006-07-09 |
| Street Address |
706 EWING AVENUE |
| City | GENOA |
| State | NE |
| Zip Code | 68640-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790086999 | Park Street Medical Clinic PC | Family Medicine | 505 South Park Street, Genoa, NE 68640 | 2010-11-04 |
| 1679071724 | Elisa Jean Zeiss | Physician Assistant | Po Box 310, Genoa, NE 68640-0310 | 2018-01-23 |
| 1649228511 | City of Genoa | General Acute Care Hospital | 706 Ewing St, Genoa, NE 68640-3035 | 2006-05-04 |
| 1730795659 | Paige Julianne Pauley | Physician Assistant | 706 Ewing St, Genoa, NE 68640-3035 | 2020-09-16 |
| 1710548292 | Jordan Sue Chohon | Physical Therapist | 706 Ewing St, Genoa, NE 68640-3035 | 2019-06-25 |
| 1720579220 | Kimberly Ann Pfeifer | Dietitian, Registered | 706 Ewing St, Genoa, NE 68640-3035 | 2018-05-21 |
| 1386150522 | Katelyn Elizabeth Palkovic | Physical Therapist | 706 Ewing St, Genoa, NE 68640-3035 | 2017-12-26 |
| 1326457730 | Kala Preister | Physical Therapist | 706 Ewing St, Genoa, NE 68640-3035 | 2014-08-11 |
| 1417395955 | City of Genoa | General Acute Care Hospital | 706 Ewing St, Genoa, NE 68640-3035 | 2013-06-06 |
| 1982979894 | City of Genoa | Hospice, Inpatient | 706 Ewing St, Genoa, NE 68640-3035 | 2012-03-12 |
| Find all providers in zip 68640 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821446253 | Oglala Sioux Lakota Nursing Home, Inc | Nursing Facility/Intermediate Care Facility | 7835 State Highway 87, Rushville, NE 69360-0001 | 2016-05-26 |
| 1750763751 | Valley View Senior Village, LLC | Nursing Facility/Intermediate Care Facility | 220 S 26th St, Ord, NE 68862-1628 | 2015-06-25 |
| 1346468782 | Cheyenne County Hospital Association Inc | Nursing Facility/Intermediate Care Facility | 549 Keller Dr, Sidney, NE 69162-1775 | 2007-04-23 |
| 1336265701 | Midwest Homestead of Kearney Operations LLC | Nursing Facility/Intermediate Care Facility | 4205 6th Ave, Kearney, NE 68845-3470 | 2007-03-21 |
| 1083730469 | Midwest Homestead of Hastings Operations LLC | Nursing Facility/Intermediate Care Facility | 1116 Sycamore Ave, Hastings, NE 68901-3380 | 2007-03-21 |
| 1073639365 | Midwest Homestead of Norfolk Operations LLC | Nursing Facility/Intermediate Care Facility | 3614 Koenigstein Ave, Norfolk, NE 68701-8010 | 2007-03-21 |
| 1912034620 | Sutton Community Home, Inc | Nursing Facility/Intermediate Care Facility | 1106 North Saunders Ave, Sutton, NE 68979-2406 | 2007-02-28 |
| 1063553527 | Pioneer Memorial Community Hospital | Nursing Facility/Intermediate Care Facility | 206 Nw 4th, Mullen, NE 69152-0578 | 2007-02-09 |
| 1679630792 | Tabitha, Inc. | Nursing Facility/Intermediate Care Facility | 1540 Grove Avenue, Crete, NE 68333-1749 | 2007-01-02 |
| 1073605754 | Madonna Rehabilitation Hospital | Nursing Facility/Intermediate Care Facility | 2200 S 52nd St, Lincoln, NE 68506-2030 | 2006-09-29 |
| Find all providers with the same taxonomy | ||||
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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.