CUSTER COUNTY HOSPICE
NPI 1245305655
Hospice Care, Community Based in Broken Bow, NE

NPI Status: Active since November 21, 2006

Contact Information

145 MEMORIAL DR
BROKEN BOW, NE
ZIP 68822
Phone: (308) 872-2625
Fax: (308) 872-6116

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  • Organization
  • Hospice Care, Community Based

About CUSTER COUNTY HOSPICE

This page provides the complete NPI Profile along with additional information for Custer County Hospice, a provider established in Broken Bow, Nebraska operating as a Hospice Care, Community Based. The healthcare provider is registered in the NPI registry with number 1245305655 assigned on November 2006. The practitioner's primary taxonomy code is 251G00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Custer County Hospice. The authorized official of this NPI record is Mr. Timothy L Schuckman (Vice President-cfo)

NPI
1245305655
Provider Legal Name
JENNIE M MELHAM MEMORIAL MEDICAL CENTER
Other Organization Name
CUSTER COUNTY HOSPICE
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
145 MEMORIAL DR BROKEN BOW, NE 68822
Location Phone
(308) 872-2625
Location Fax
(308) 872-6116
Mailing Address
PO BOX 250 BROKEN BOW, NE 68822
Mailing Phone
(308) 872-2625
Mailing Fax
(308) 872-6116
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2006
Last Update Date
01-10-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Hospice Care, Community Based

Taxonomy Code
251G00000X
Type
Agencies

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. TIMOTHY L SCHUCKMAN

Authorized Official Title
VICE PRESIDENT-CFO
Authorized Official Phone
(308) 872-2625

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00368OTHER (01)BLUE CROSS HOSPICE NUMBER
10025136500MEDICAID (05)NE 

Reviews for CUSTER COUNTY HOSPICE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245305655
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22856010610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 6 + 0 + 1 + 0 + 6 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1245305655 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

JULIE A LINDSTROM D.O.

Family Medicine

145 MEMORIAL DR
BROKEN BOW, NE
ZIP 68822

(308) 872-2486

DR. DAVID A MINNICK MD

Family Medicine

145 MEMORIAL DR
BROKEN BOW, NE
ZIP 68822

(308) 872-2486

DR. ROBERT R KAHNK MD

Family Medicine

145 MEMORIAL DR
BROKEN BOW, NE
ZIP 68822

(308) 872-2486

DR. LOREN HENNING JACOBSEN MD

Family Medicine

145 MEMORIAL DR
BROKEN BOW, NE
ZIP 68822

(308) 872-2486

MELISSA ANN KULHANEK PHARM.D.

Pharmacist

145 MEMORIAL DR
BROKEN BOW, NE
ZIP 68822

(308) 872-2625

JACOB D KARMAZIN PA-C

Physician Assistant

145 MEMORIAL DR
BROKEN BOW, NE
ZIP 68822

(308) 872-2486

LACI KAI SCOTT NP-C

Nurse Practitioner

(Family)

145 MEMORIAL DR
BROKEN BOW, NE
ZIP 68822

(308) 872-2486

MR. JUSTIN BOUTWELL PA

Physician Assistant

(Medical)

145 MEMORIAL DR
BROKEN BOW, NE
ZIP 68822

(308) 872-2486

JENNIE M MELHAM MEMORIAL MEDICAL CENTER

Nursing Facility/Intermediate Care Facility

145 MEMORIAL DR
BROKEN BOW, NE
ZIP 68822

(308) 872-2625

JENNIE M MELHAM MEMORIAL MEDICAL CENTER

Durable Medical Equipment & Medical Supplies

145 MEMORIAL DR
BROKEN BOW, NE
ZIP 68822

(308) 872-2625

VALERIE HARRIS LCSW

Counselor

(Mental Health)

145 MEMORIAL DR
BROKEN BOW, NE
ZIP 68822

(308) 872-4020

JENNIE M MELHAM MEMORIAL MEDICAL CENTER

Home Health

145 MEMORIAL DR
BROKEN BOW, NE
ZIP 68822

(308) 872-2625

JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC

Nurse Anesthetist, Certified Registered

145 MEMORIAL DR
BROKEN BOW, NE
ZIP 68822

(308) 872-4100

JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC

General Acute Care Hospital

(Critical Access)

145 MEMORIAL DR
BROKEN BOW, NE
ZIP 68822

(308) 872-4100

JENNIE M MELHAM MEMORIAL MEDICAL CENTER INC

General Acute Care Hospital

(Critical Access)

145 MEMORIAL DR
BROKEN BOW, NE
ZIP 68822

(308) 872-4100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245305655, enumerated as an "organization" on November 21, 2006.

The provider is located at 145 MEMORIAL DR BROKEN BOW, NE 68822 and the phone number is (308) 872-2625.

Hospice Care, Community Based with taxonomy code 251G00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.