state of nebraska roster hospitalsgovdocs.nebraska.gov/epubs/h8310/d002-2005.pdfstate of nebraska...

STATE OF NEBRASKA

ROSTER

HOSPITALS

General Acute HospitalsCritical Access HospitalsRehabilitation Hospitals

Psychiatric HospitalsExcluded Unit Hospitals

Department of Health and Human Services Regulation and LicensureCredentialing Division

Nebraska State Office Building301 Centennial Mall South-Third Floor

P.O. Box 94986Lincoln, NE 68509-4986

Hospital Licenses Expire December 31, 2005 Roster last updated June 10, 2005

NEBRASKA HOSPITALS

FACILITY TYPE

GENACUTE General Acute HospitalLTCH/LIC Long Term Care Hospital – Licensed OnlyREH HOSP Rehabilitation HospitalHOSP-CAH Critical Access HospitalPSYCH Psychiatric Hospital

JCAHO Joint Commission on Accreditation of Healthcare OrganizationsAOA American Osteopathic AssociationCARF Commission on Accreditation of Rehabilitation Facilities

HOSPITAL ROSTER: 06/10/2005 By City Page 1 of 21

TOWN (County) Zip CodeName of FacilityAddressPhone Number Fac Type

Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesAINSWORTH (BROWN) - 69210 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS

Medicaid - 0Brown County Hospital 060001 Medicare/Medicaid - 25945 EAST ZERO STREET Total Lic Beds - 25(402) 387-2800 FAX: (402) 387-2804BROWN COUNTYNEIL HILTON, ADMINISTRATOR

ALBION (BOONE) - 68620 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS Medicaid - 0

Boone County Health Center 030001 Medicare/Medicaid - 25P O BOX 151, 723 WEST FAIRVIEW ST Total Lic Beds - 25(402) 395-2191 FAX: (402) 395-5165BOONE COUNTYVICTOR LEE, ADMINISTRATOR

BRANCH/SATELLITE: NEWMAN GROVE MEDICAL CLINIC OUTPATIENT DEPT - 104 NORTH 1ST ST, NEWMAN GROVEBRANCH/SATELLITE: ALLIED HEALTH BUILDING - 632 WEST FAIRVIEW, ALBIONBRANCH/SATELLITE: ELGIN VETERANS MEDICAL CLINIC OUTPATIENT DEPT - 116 NORTH 2ND ST, ELGIN

ALLIANCE (BOX BUTTE) - 69301 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS Medicaid - 0

Box Butte General Hospital 040001 Medicare/Medicaid - 25P O BOX 810, 2101 BOX BUTTE AVENUE JCAHO Total Lic Beds - 25(308) 762-6660 FAX: (308) 762-1923BOX BUTTE COUNTYDANIEL GRIESS, ADMINISTRATOR

ALMA (HARLAN) - 68920 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS Medicaid - 0

Harlan County Health System 390001 Medicare/Medicaid - 25P O BOX 836, 717 NORTH BROWN STREET Total Lic Beds - 25(308) 928-2151 FAX: (308) 928-2774HARLAN COUNTY HEALTH SYSTEM BOARD OF TRUSTEESALLEN VAN DRIEL, ADMINISTRATOR

ATKINSON (HOLT) - 68713 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

West Holt Memorial Hospital, Inc. 410001 Medicare/Medicaid - 18406 WEST NEELY STREET Total Lic Beds - 18(402) 925-2811 FAX: (402) 925-2810WEST HOLT MEMORIAL HOSPITAL, INC.MEL SNOW, ADMINISTRATOR



Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesAUBURN (NEMAHA) - 68305 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS

Medicaid - 0Nemaha County Hospital 560001 Medicare/Medicaid - 202022 13TH STREET Total Lic Beds - 20(402) 274-4366 FAX: (402) 274-4399NEMAHA COUNTY HOSPITALMARTY FATTIG, ADMINISTRATOR

AURORA (HAMILTON) - 68818 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

Memorial Hospital 380001 Medicare/Medicaid - 251423 SEVENTH STREET Total Lic Beds - 25(402) 694-3171 FAX: (402) 694-5024MEMORIAL COMMUNITY HEALTH, INC.DIANE KELLER, ADMINISTRATOR

BASSETT (ROCK) - 68714 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS Medicaid - 0

Rock County Hospital 830001 Medicare/Medicaid - 17HC 75 BOX 300, 102 EAST SOUTH STREET Total Lic Beds - 17(402) 684-3366 FAX: (402) 684-3677ROCK COUNTYSTACEY KNOX, ADMINISTRATOR

BEATRICE (GAGE) - 68310 GENACUTE Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

Beatrice Community Hospital & Health Center, Inc. 320001 Medicare/Medicaid - 47P O BOX 278, 1110 N 10TH ST JCAHO Total Lic Beds - 47(402) 228-3344 FAX: (402) 223-7299BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC.THOMAS SOMMERS, ADMINISTRATOR

BEATRICE (GAGE) - 68310 GENACUTE Medicare - 0 GOVERNMENT-STA SWING BEDS Medicaid - 0

Beatrice State Developmental Center 320003 Medicare/Medicaid - 313000 LINCOLN BLVD Total Lic Beds - 31(402) 223-6600 FAX: (402) 223-6150STATE OF NEBRASKA HEALTH & HUMAN SERVICES SYSTEMVINCENTE BENJAMIN, JR., ADMINISTRATOR



Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesBENKELMAN (DUNDY) - 69021 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS

Medicaid - 0Dundy County Hospital 270001 Medicare/Medicaid - 14P O BOX 626, 1313 NORTH CHEYENNE ST Total Lic Beds - 14(308) 423-2204 FAX: (308) 423-5691DUNDY COUNTYRITA JONES, ADMINISTRATOR

BLAIR (WASHINGTON) - 68008 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

Memorial Community Hospital 790001 Medicare/Medicaid - 25P O BOX 250, 810 NORTH 22ND STREET Total Lic Beds - 25(402) 426-2182 FAX: (402) 426-1439MEMORIAL COMMUNITY HOSPITALSALLY HARVEY, ADMINISTRATOR

BRIDGEPORT (MORRILL) - 69336 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS Medicaid - 0

Morrill County Community Hospital 540001 Medicare/Medicaid - 20P O BOX 579, 1313 S STREET Total Lic Beds - 20(308) 262-1616 FAX: (308) 262-0843MORRILL COUNTY COMMUNITY HOSPITALJULIA MORROW, ADMINISTRATOR

BROKEN BOW (CUSTER) - 68822 GENACUTE Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

Jennie M Melham Memorial Medical Center 100001 Medicare/Medicaid - 39P O BOX 250, 145 MEMORIAL DRIVE Total Lic Beds - 39(308) 872-6891 FAX: (308) 872-6116JENNIE M MELHAM MEMORIAL MEDICAL CENTER, INC.MICHAEL STECKLER, ADMINISTRATOR

CALLAWAY (CUSTER) - 68825 HOSP-CAH Medicare - 0 GOVERNMENT-DIS SWING BEDS Medicaid - 0

Callaway District Hospital 100002 Medicare/Medicaid - 12P O BOX 100, 211 KIMBALL STREET Total Lic Beds - 12(308) 836-2228 FAX: (308) 836-2733CALLAWAY HOSPITAL DISTRICTMARVIN NETH, ADMINISTRATOR



Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesCAMBRIDGE (FURNAS) - 69022 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS

Medicaid - 0Tri Valley Health System 310001 Medicare/Medicaid - 25P O BOX 488, 1305 WEST HWY 6 & 34 Total Lic Beds - 25(308) 697-3329 FAX: (308) 697-4918CAMBRIDGE MEMORIAL HOSPITAL, INC.LYNN MILNES, ADMINISTRATOR

CENTRAL CITY (MERRICK) - 68826 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS Medicaid - 0

Litzenberg Memorial County Hospital 530001 Medicare/Medicaid - 251715 26TH STREET Total Lic Beds - 25(308) 946-3015 FAX: (308) 946-2633MERRICK COUNTYMICHAEL BOWMAN, ADMINISTRATOR

CHADRON (DAWES) - 69337 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

Chadron Community Hospital & Health Services 210001 Medicare/Medicaid - 25821 MOREHEAD STREET Total Lic Beds - 25(308) 432-5586 FAX: (308) 432-2737CHADRON COMMUNITY HOSPITAL, INC.HAROLD KRUEGER JR, ADMINISTRATOR

COLUMBUS (PLATTE) - 68601 GENACUTE Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

Columbus Community Hospital, Inc 630001 Medicare/Medicaid - 47P O BOX 1800, 4600 38TH STREET JCAHO Total Lic Beds - 47(402) 564-7118 FAX: (402) 562-3178COLUMBUS COMMUNITY HOSPITAL, INC.GARY PULSIPHER, ADMINISTRATOR

BRANCH/SATELLITE: COLUMBUS COMMUNITY HOSPITAL LABORATORY - 4508 38TH STREET, SUITE 168, COLUMBUSBRANCH/SATELLITE: PERAULT PHYSICAL THERAPY - 2108 13TH STREET, COLUMBUS

COZAD (DAWSON) - 69130 HOSP-CAH Medicare - 0 GOVERNMENT-DIS SWING BEDS Medicaid - 0

Cozad Community Hospital 220001 Medicare/Medicaid - 21P O BOX 108, 300 EAST 12TH STREET Total Lic Beds - 21(308) 784-2261 FAX: (308) 784-4691COZAD HOSPITAL DISTRICT #2LYLE DAVIS, ADMINISTRATOR



Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesCREIGHTON (KNOX) - 68729 HOSP-CAH Medicare - 0 GOVERNMENT-CIT SWING BEDS

Medicaid - 0Creighton Area Health Services 490001 Medicare/Medicaid - 23P O BOX 186, 1503 MAIN STREET Total Lic Beds - 23(402) 358-5700 FAX: (402) 358-5769CITY OF CREIGHTONPAUL HURD, ADMINISTRATOR

CRETE (SALINE) - 68333 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

Crete Area Medical Center 670001 Medicare/Medicaid - 252910 BETTEN DRIVE Total Lic Beds - 25(402) 826-2102 FAX: (402) 826-7950BRYANLGH HEALTH SYSTEMJOSEPH LOHRMAN, ADMINISTRATOR

DAVID CITY (BUTLER) - 68632 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS Medicaid - 0

Butler County Health Care Center 090001 Medicare/Medicaid - 25372 SOUTH 9TH STREET Total Lic Beds - 25(402) 367-3115 FAX: (402) 367-4107BUTLER COUNTYDON NAIBERK, ADMINISTRATOR

FAIRBURY (JEFFERSON) - 68352 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

Jefferson Community Health Center, Inc. 440001 Medicare/Medicaid - 25P O BOX 277, 2200 NORTH H STREET Total Lic Beds - 25(402) 729-3351 FAX: (402) 729-2102JEFFERSON COMMUNITY HEALTH CENTER, INC.WILLIAM WELCH, ADMINISTRATOR

FALLS CITY (RICHARDSON) - 68355 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

Community Medical Center, Inc. 660001 Medicare/Medicaid - 25P O BOX 399, 2307 BARADA STREET Total Lic Beds - 25(402) 245-2428 FAX: (402) 245-2564COMMUNITY MEDICAL CENTER, INC.MARK STEADHAM, INTERIM ADMINIS



Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesFRANKLIN (FRANKLIN) - 68939 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS

Medicaid - 0Franklin County Memorial Hospital 290001 Medicare/Medicaid - 15P O BOX 315, 1406 Q STREET Total Lic Beds - 15(308) 425-6221 FAX: (308) 425-3164FRANKLIN COUNTYJERRELL GERDES, ADMINISTRATOR

FREMONT (DODGE) - 68025 GENACUTE Medicare - 0 GOVERNMENT-CO Medicaid - 0

Fremont Area Medical Center 250001 Medicare/Medicaid - 100450 EAST 23RD STREET JCAHO Total Lic Beds - 100(402) 721-1610 FAX: (402) 727-3656DODGE COUNTYMICHAEL LEIBERT, ADMINISTRATOR

FRIEND (SALINE) - 68359 HOSP-CAH Medicare - 0 GOVERNMENT-CIT SWING BEDS Medicaid - 0

Warren Memorial Hospital 670002 Medicare/Medicaid - 14905 SECOND STREET Total Lic Beds - 14(402) 947-2541 FAX: (402) 947-2811CITY OF FRIENDAMY FISH, ADMINISTRATOR

GENEVA (FILLMORE) - 68361 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS Medicaid - 0

Fillmore County Hospital 280001 Medicare/Medicaid - 25P O BOX 193, 1325 H STREET Total Lic Beds - 25(402) 759-3167 FAX: (402) 759-3093FILLMORE COUNTYLARRY EICHELBERGER, ADMINISTRATOR

GENOA (NANCE) - 68640 HOSP-CAH Medicare - 0 GOVERNMENT-CIT SWING BEDS Medicaid - 0

Genoa Community Hospital/LTC 550001 Medicare/Medicaid - 20P O BOX 310, 706 EWING AVENUE Total Lic Beds - 20(402) 993-2283 FAX: (402) 993-6546CITY OF GENOASHELLI CORNWELL, ADMINISTRATOR



Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesGORDON (SHERIDAN) - 69343 HOSP-CAH Medicare - 0 GOVERNMENT-DIS SWING BEDS

Medicaid - 0Gordon Memorial Hospital District 730001 Medicare/Medicaid - 25300 EAST 8TH STREET Total Lic Beds - 25(308) 282-0401 FAX: (308) 282-0431GORDON MEMORIAL HOSPITAL DISTRICTMEHDI MERRED, ADMINISTRATOR

GOTHENBURG (DAWSON) - 69138 HOSP-CAH Medicare - 0 GOVERNMENT-DIS SWING BEDS Medicaid - 0

Gothenburg Memorial Hospital 220002 Medicare/Medicaid - 13P O BOX 469, 910 20TH STREET Total Lic Beds - 13(308) 537-3661 FAX: (308) 537-3074GOTHENBURG MEMORIAL HOSPITAL DISTRICTJOHN JOHNSON, ADMINISTRATOR

GRAND ISLAND (HALL) - 68803 GENACUTE Medicare - 0 NON PROFIT - C Medicaid - 0

St. Francis Medical Center 370001 Medicare/Medicaid - 1302620 WEST FAIDLEY AVENUE JCAHO Total Lic Beds - 130(308) 384-4600 FAX: (308) 398-5589CATHOLIC HEALTH INITIATIVESMICHAEL GLOOR, ADMINISTRATOR

BRANCH/SATELLITE: CRANE RIVER CLINIC - 3280 WOODRIDGE BLVD, GRAND ISLANDBRANCH/SATELLITE: PRIMARY CARE CLINIC AT DONIPHAN - 2011 CLARICE, DONIPHANBRANCH/SATELLITE: STUDENT WELLNESS CENTER - 2124 NORTH LAFEYETTE, GRAND ISLANDBRANCH/SATELLITE: PRIMARY CARE AT WOOD RIVER - 905 MAIN STREET, WOOD RIVERBRANCH/SATELLITE: NEUROLOGY SERVICES - 705 NORTH ORLEANS DRIVE, GRAND ISLANDBRANCH/SATELLITE: PRIMARY CARE CLINIC AT CAIRO - 411 SOUTH HIGH, CAIRO

GRANT (PERKINS) - 69140 HOSP-CAH Medicare - 0 GOVERNMENT-DIS SWING BEDS Medicaid - 0

Perkins County Health Services 600001 Medicare/Medicaid - 20900 LINCOLN AVENUE Total Lic Beds - 20(308) 352-7200 FAX: (308) 352-7291PERKINS COUNTY HOSPITAL DISTRICTCAROL KRAUS, ADMINISTRATOR

HASTINGS (ADAMS) - 68902 PSYCH Medicare - 0 GOVERNMENT-STA Medicaid - 0

Hastings Regional Center 010001 Medicare/Medicaid - 30P O BOX 579, 4200 WEST 2ND JCAHO Total Lic Beds - 30(402) 462-1971 FAX: (402) 460-3144STATE OF NEBRASKA HEALTH & HUMAN SERVICES SYSTEMWILLIAM GIBSON, ADMINISTRATOR



Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesHASTINGS (ADAMS) - 68901 GENACUTE Medicare - 0 NON PROFIT - C

Medicaid - 0Mary Lanning Memorial Hospital 010002 Medicare/Medicaid - 163715 NORTH ST JOSEPH AVENUE JCAHO Total Lic Beds - 163(402) 463-4521 FAX: (402) 461-5321MARY LANNING MEMORIAL HOSPITAL ASSOCIATIONMICHAEL KEARNEY, ADMINISTRATOR

HEBRON (THAYER) - 68370 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS Medicaid - 0

Thayer County Health Services 760001 Medicare/Medicaid - 14120 PARK AVENUE Total Lic Beds - 14(402) 768-6041 FAX: (402) 768-4697THAYER COUNTYJOYCE BECK, ADMINISTRATOR

HENDERSON (YORK) - 68371 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

Henderson Health Care Services, Inc. 820001 Medicare/Medicaid - 131621 FRONT STREET Total Lic Beds - 13(402) 723-4512 FAX: (402) 723-4520HENDERSON HEALTH CARE SERVICES, INCPATRICIA LUNDGREN, ADMINISTRATOR

HOLDREGE (PHELPS) - 68949 GENACUTE Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

Phelps Memorial Health Center 610001 Medicare/Medicaid - 491215 TIBBALS STREET JCAHO Total Lic Beds - 49(308) 995-2211 FAX: (308) 995-3336PHELPS COUNTY MEMORIAL HOSPITAL ASSOCIATION, INC.JOYCE HEIN, ADMINISTRATOR

BRANCH/SATELLITE: PHELPS MEMORIAL HEALTH CENTER - 1723 BURLINGTON STREET, HOLDREGE

IMPERIAL (CHASE) - 69033 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS Medicaid - 0

Chase County Community Hospital 130001 Medicare/Medicaid - 25P O BOX 819, 600 WEST 12TH STREET Total Lic Beds - 25(308) 882-7200 FAX: (308) 882-7295CHASE COUNTYLOLA JONES, ADMINISTRATOR

BRANCH/SATELLITE: CHASE COUNTY CLINIC WAUNETA - 84 EAST WICHITA, WAUNETA



Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesKEARNEY (BUFFALO) - 68848 GENACUTE Medicare - 0 NON PROFIT - C

Medicaid - 0Good Samaritan Hospital 070001 Medicare/Medicaid - 165P O BOX 1990, 10 EAST 31ST STREET JCAHO Total Lic Beds - 165(308) 865-7900 FAX: (308) 865-2913GOOD SAMARITAN HOSPITALJOHN ALLEN, ADMINISTRATOR

KEARNEY (BUFFALO) - 68848 PSYCH Medicare - 0 NON PROFIT - C Medicaid - 0

Richard H. Young Hospital 070002 Medicare/Medicaid - 68P O BOX 1750, 1755 PRAIRIE VIEW PL JCAHO Total Lic Beds - 68(308) 865-2000 FAX: (308) 865-2931GOOD SAMARITAN HOSPITALJOHN ALLEN, ADMINISTRATOR

KIMBALL (KIMBALL) - 69145 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS Medicaid - 0

Kimball County Hospital 480001 Medicare/Medicaid - 20505 SOUTH BURG STREET Total Lic Beds - 20(308) 235-1952 FAX: (308) 235-1955KIMBALL COUNTYKIM WOODS, ADMINISTRATOR

LEXINGTON (DAWSON) - 68850 GENACUTE Medicare - 0 GOVERNMENT-DIS SWING BEDS Medicaid - 0

Tri-County Area Hospital District 220003 Medicare/Medicaid - 40P O BOX 980, 1201 NORTH ERIE STREET JCAHO Total Lic Beds - 40(308) 324-5651 FAX: (308) 324-8359TRI-COUNTY AREA HOSPITAL DISTRICTCALVIN HINER, ADMINISTRATOR

BRANCH/SATELLITE: COMMUNITY HEALTH & FITNESS CENTER - 1600 WEST 13TH STREET, LEXINGTON

LINCOLN (LANCASTER) - 68506 GENACUTE Medicare - 0 NON PROFIT - C Medicaid - 0

BryanLGH Medical Center East 500001 Medicare/Medicaid - 3161600 SOUTH 48TH STREET JCAHO Total Lic Beds - 316(402) 489-0200 FAX: (402) 481-8306BRYANLGH MEDICAL CENTERCRAIG AMES, ADMINISTRATOR

% ROBERT W. PETERS, PLANNING DEPT., BRYANLGH MED. CENTER-EAST, 1600 SOUTH 48TH STREET LINCOLN, NE 68506BRANCH/SATELLITE: NORTH LINCOLN MEDICAL PLAZA - 2355 SUPERIOR STREET, LINCOLNBRANCH/SATELLITE: PINE LAKE MEDICAL PLAZA - 3901 PINE LAKE ROAD, LINCOLNBRANCH/SATELLITE: MAMMOGRAPHY CENTER - 7441 O STREET SUITE 105, LINCOLNBRANCH/SATELLITE: BRYAN MEDICAL PLAZA - 1500 SOUTH 48TH STREET, LINCOLN



Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesLINCOLN (LANCASTER) - 68502 GENACUTE Medicare - 0 NON PROFIT - C

Medicaid - 0BryanLGH Medical Center West 500003 Medicare/Medicaid - 3332300 SOUTH 16TH STREET JCAHO Total Lic Beds - 333(402) 475-1011 FAX: (402) 481-5377BRYANLGH MEDICAL CENTERCRAIG AMES, ADMINISTRATOR

% ROBERT W. PETERS, PLANNING DEPT., BRYANLGH MED. CENTER-EAST, 1600 SOUTH 48TH STREET LINCOLN, NE 68506

LINCOLN (LANCASTER) - 68509 LTCH/LIC Medicare - 0 GOVERNMENT-STA Medicaid - 0

Diagnostic & Evaluation Center Hospital & Clinic LTCH021 Medicare/Medicaid - 03220 WEST VAN DORN Total Lic Beds - 8(402) 471-2861 FAX: (402) 479-6300NEBRASKA DEPARTMENT OF CORRECTIONAL SERVICESBRIAN MARSHALL, ADMINISTRATOR

LINCOLN (LANCASTER) - 68509 PSYCH Medicare - 0 GOVERNMENT-STA Medicaid - 0

Lincoln Regional Center 500004 Medicare/Medicaid - 91P O BOX 94949, FOLSOM & W PROSPECTOR JCAHO Total Lic Beds - 210(402) 471-4444 FAX: (402) 479-5124STATE OF NEBRASKA HEALTH & HUMAN SERVICES SYSTEMBARBARA RAMSEY, ADMINISTRATOR

LINCOLN (LANCASTER) - 68506 GENACUTE Medicare - 0 LIMITED LIABIL Medicaid - 0

Lincoln Surgical Hospital H000103 Medicare/Medicaid - 71710 SOUTH 70TH STREET SUITE 200 Total Lic Beds - 7(402) 483-1550 FAX: (402) 483-1925LINCOLN SURGERY CENTER, LLCROBIN LINAFELTER, ADMINISTRATOR

LINCOLN (LANCASTER) - 68506 REH HOSP Medicare - 0 NON PROFIT - C Medicaid - 0

Madonna Rehabilitation Hospital 500005 Medicare/Medicaid - 665401 SOUTH STREET CARF Total Lic Beds - 66(402) 489-7102 FAX: (402) 483-9433MADONNA REHABILITATION HOSPITALMARSHA LOMMEL, ADMINISTRATOR

% ATTN: SHIRLEY J. FOSTER, 5401 SOUTH STREET, LINCOLN, NE 68506BRANCH/SATELLITE: MADONNA THERAPY PLUS PINE LAKE - 2801 PINE LAKE RD, SUITES L&M, LINCOLNBRANCH/SATELLITE: MADONNA THERAPY PLUS NORTHWEST - 5633 NORTHWEST 1ST STREET, LINCOLNBRANCH/SATELLITE: MADONNA THERAPY PLUS BEATRICE - 1703 NORTH 9TH STREET, BEATRICEBRANCH/SATELLITE: MADONNA THERAPY PLUS SOUTH STREET - 5445 SOUTH STREET, LINCOLNBRANCH/SATELLITE: MADONNA THERAPY PLUS O STREET - 1800 O STREET SUITE 208, LINCOLN



Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesLINCOLN (LANCASTER) - 68506 GENACUTE Medicare - 96 NON PROFIT - C

Medicaid - 0Madonna Rehabilitation LTC Hospital 507001 Medicare/Medicaid - 05401 SOUTH STREET CARF Total Lic Beds - 96(402) 489-7102 FAX: (402) 483-9433MADONNA REHABILITATION HOSPITALMARSHA LOMMEL, ADMINISTRATOR

% ATTN: SHIRLEY J. FOSTER, 5401 SOUTH STREET, LINCOLN, NE 68506

LINCOLN (LANCASTER) - 68526 GENACUTE Medicare - 0 LIMITED LIABIL Medicaid - 0

Nebraska Heart Hospital, LLC H000102 Medicare/Medicaid - 637500 SOUTH 91ST STREET Total Lic Beds - 63(402) 327-2700 FAX: (402) 328-3010NEBRASKA HEART HOSPITAL, LLCSHERYL DODDS, ADMINISTRATOR

LINCOLN (LANCASTER) - 68502 LTCH/LIC Medicare - 0 GOVERNMENT-STA Medicaid - 0

Nebraska State Penitentiary Hospital & Clinic LTCH023 Medicare/Medicaid - 04201 SOUTH 14TH STREET Total Lic Beds - 12(402) 479-5637 FAX: (402) 479-3325NEBRASKA DEPARTMENT OF CORRECTIONAL SERVICESBRIAN MARSHALL, ADMINISTRATOR

% DEPT. OF CORRECTIONAL SERVICES, ATTN: MEDICAL DEPARTMENT, PO BOX 94661 LINCOLN, NE 68509

LINCOLN (LANCASTER) - 68510 GENACUTE Medicare - 0 NON PROFIT - C Medicaid - 0

Saint Elizabeth Regional Medical Center 500007 Medicare/Medicaid - 242555 SOUTH 70TH STREET JCAHO Total Lic Beds - 242(402) 219-8000 FAX: (402) 219-8973CATHOLIC HEALTH INITIATIVESROBERT LANIK, ADMINISTRATOR

BRANCH/SATELLITE: SAINT ELIZABETH SOUTHWEST PHYSICAL THERAPY CLINIC - 1240 ARIES DRIVE SUITE B, LINCOLNBRANCH/SATELLITE: SAINT ELIZABETH WOUND CARE CENTER - 7441 O STREET, SUITE 200, LINCOLNBRANCH/SATELLITE: SAINT ELIZABETH HOME CARE SERVICES - 245 SOUTH 84TH SUITE 111, LINCOLNBRANCH/SATELLITE: ST ELIZABETH OUTPATIENT CLINICS - 575 SOUTH 70TH STREET, LINCOLNBRANCH/SATELLITE: PHYSICAL THERAPY/OCCUPATIONAL THERAPY - 1000 WEST O STREET, LINCOLN

LYNCH (BOYD) - 68746 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

Niobrara Valley Hospital Corporation 050001 Medicare/Medicaid - 20P O BOX 118, 401 SOUTH 5TH STREET Total Lic Beds - 20(402) 569-2451 FAX: (402) 569-2474NIOBRARA VALLEY DEVELOPMENT CORP.BRUCE PURVIANCE, ADMINISTRATOR



Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesMCCOOK (RED WILLOW) - 69001 GENACUTE Medicare - 0 NON PROFIT - C SWING BEDS

Medicaid - 0Community Hospital 650001 Medicare/Medicaid - 44P O BOX 1328, 1301 EAST H STREET JCAHO Total Lic Beds - 44(308) 345-2650 FAX: (308) 345-8572COMMUNITY HOSPITAL ASSOCIATIONGARY BIEGANSKI, ADMINISTRATOR

BRANCH/SATELLITE: COMMUNITY HOSPITAL OUTPATIENT CLINICS - 1401 EAST H STREET SUITE B, MC COOK

MINDEN (KEARNEY) - 68959 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS Medicaid - 0

Kearney County Health Services 460001 Medicare/Medicaid - 25727 EAST 1ST STREET Total Lic Beds - 25(308) 832-3400 FAX: (308) 832-3417KEARNEY COUNTYJOHN RAINEY, ADMINISTRATOR

BRANCH/SATELLITE: KENESAW COMMUNITY HEALTH SERVICES - 109 WEST ELM STREET, KENESAW

NEBRASKA CITY (OTOE) - 68410 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

St. Mary's Hospital 580001 Medicare/Medicaid - 181314 3RD AVENUE Total Lic Beds - 18(402) 873-3321 FAX: (402) 873-9033CATHOLIC HEALTH INITIATIVESDANIEL KELLY, ADMINISTRATOR

NELIGH (ANTELOPE) - 68756 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

Antelope Memorial Hospital 020001 Medicare/Medicaid - 25P O BOX 229, 102 WEST 9TH STREET Total Lic Beds - 25(402) 887-4151 FAX: (402) 887-4092ANTELOPE MEMORIAL HOSPITALJACK GREEN, ADMINISTRATOR

NORFOLK (MADISON) - 68701 GENACUTE Medicare - 0 NON PROFIT - C Medicaid - 0

Faith Reg Health Services/East Campus 520002 Medicare/Medicaid - 631500 KOENIGSTEIN AVENUE JCAHO Total Lic Beds - 63(402) 371-4880 FAX: (402) 644-7468FAITH REGIONAL HEALTH SERVICESROBERT DRIEWER, ADMINISTRATOR

BRANCH/SATELLITE: ELECTROMYELOGRAPHY LAB - 110 NORTH 16TH ST SUITE 3, NORFOLK



Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesNORFOLK (MADISON) - 68701 GENACUTE Medicare - 0 NON PROFIT - C

Medicaid - 0Faith Reg Health Services/West Campus 520001 Medicare/Medicaid - 932700 WEST NORFOLK AVENUE JCAHO Total Lic Beds - 93(402) 371-4880 FAX: (402) 644-7468FAITH REGIONAL HEALTH SERVICESROBERT DRIEWER, ADMINISTRATOR

BRANCH/SATELLITE: RADIATION ONCOLOGY SERVICES - 110 NORTH 29TH ST SUITE 101, NORFOLKBRANCH/SATELLITE: CARDIAC REHABILITATION & DIAGNOSTIC SERVICES - 110 NORTH 29TH ST SUITE 202, NORFOLKBRANCH/SATELLITE: FAITH REGIONAL DIABETES CENTER - 110 NORTH 29TH ST SUITE 202, NORFOLKBRANCH/SATELLITE: CARDIAC & VASCULAR SERVICES - 110 NORTH 29TH ST SUITE 301, NORFOLK

NORFOLK (MADISON) - 68701 PSYCH Medicare - 0 GOVERNMENT-STA Medicaid - 0

Norfolk Regional Center 520003 Medicare/Medicaid - 107P O BOX 1209, 1700 NORTH VICTORY RD JCAHO Total Lic Beds - 208(402) 370-3400 FAX: (402) 370-3194STATE OF NEBRASKA HEALTH & HUMAN SERVICES SYSTEMANTONI SULIKOWSKI, ADMINISTRATOR

NORTH PLATTE (LINCOLN) - 69101 GENACUTE Medicare - 0 NON PROFIT - C Medicaid - 0

Great Plains Regional Medical Center 510001 Medicare/Medicaid - 116601 WEST LEOTA STREET JCAHO Total Lic Beds - 116(308) 535-7496 FAX: (308) 535-3413NORTH PLATTE NE HOSPITAL CORPORATIONLUCINDA BRADLEY, ADMINISTRATOR

BRANCH/SATELLITE: GREAT PLAINS SPORTS & THERAPY CENTER - 1115 SOUTH COTTONWOOD, NORTH PLATTE

O' NEILL (HOLT) - 68763 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

Avera St. Anthony's Hospital 410002 Medicare/Medicaid - 252ND & ADAMS STREETS Total Lic Beds - 25(402) 336-2611 FAX: (402) 336-5135AVERA ST. ANTHONY'S HOSPITALRONALD CORK, ADMINISTRATOR

OAKLAND (BURT) - 68045 HOSP-CAH Medicare - 0 GOVERNMENT-DIS SWING BEDS Medicaid - 0

Oakland Memorial Hospital 080001 Medicare/Medicaid - 23601 EAST SECOND STREET Total Lic Beds - 23(402) 685-5601 FAX: (402) 685-6223OAKLAND HOSPITAL DISTRICTKAREN VLACH, ADMINISTRATOR



Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesOGALLALA (KEITH) - 69153 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS

Medicaid - 0Ogallala Community Hospital 470001 Medicare/Medicaid - 182601 NORTH SPRUCE STREET Total Lic Beds - 18(308) 284-4011 FAX: (308) 284-7262BANNER HEALTH SYSTEMMARGIE MOLITOR, ADMINISTRATOR

OMAHA (DOUGLAS) - 68130 GENACUTE Medicare - 0 NON PROFIT - C Medicaid - 0

Alegent Health Lakeside Hospital H000106 Medicare/Medicaid - 4916901 LAKESIDE HILLS COURT NONE Total Lic Beds - 49(402) 717-8107 FAX: (402) 717-8108ALEGENT HEALTHCINDY ALLOWAY, ADMINISTRATOR


Alegent Health-Bergan Mercy Medical Center 260001 Medicare/Medicaid - 4007500 MERCY ROAD JCAHO Total Lic Beds - 400(402) 398-6060 FAX: (402) 398-6920ALEGENT HEALTHMARY KAY THALKEN, INTERIM ADMINIS

BRANCH/SATELLITE: ALEGENT HEALTH LAKESIDE LABORATORY - 17030 LAKESIDE HILLS PLAZA, OMAHA


Alegent Health-Immanuel Medical Center 260002 Medicare/Medicaid - 3566901 NORTH 72ND STREET JCAHO Total Lic Beds - 356(402) 572-2121 FAX: (402) 593-3177ALEGENT HEALTHBARBARA GOODRICH, ADMINISTRATOR


Boys Town National Research Hospital 260004 Medicare/Medicaid - 66555 NORTH 30TH STREET JCAHO Total Lic Beds - 66(402) 498-6511 FAX: (402) 498-6357FATHER FLANAGAN'S BOYS' HOMEJOHN ARCH, ADMINISTRATOR



Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesOMAHA (DOUGLAS) - 68114 GENACUTE Medicare - 0 NON PROFIT - C

Medicaid - 0Children's Hospital 260005 Medicare/Medicaid - 1348200 DODGE STREET JCAHO Total Lic Beds - 134(402) 955-5400 FAX: (402) 955-4100CHILDREN'S HOSPITALGARY PERKINS, ADMINISTRATOR

OMAHA (DOUGLAS) - 68131 GENACUTE Medicare - 0 LIMITED LIABIL Medicaid - 0

Creighton University Medical Center - Saint Joseph 260010 Medicare/Medicaid - 334601 NORTH 30TH STREET JCAHO Total Lic Beds - 334(402) 449-5021 FAX: (402) 449-5020CREIGHTON ST. JOSEPH REGIONAL HEALTHCARE SYSTEMPHILIP GUSTAFSON, ADMINISTRATOR

BRANCH/SATELLITE: SAINT JOSEPH REHAB SERVICES - 3802 RAYNOR PARKWAY, BELLEVUE

OMAHA (DOUGLAS) - 68105 PSYCH Medicare - 0 GOVERNMENT-CO Medicaid - 0

Douglas County Community Mental Health Center 260006 Medicare/Medicaid - 304102 WOOLWORTH AVENUE AOA Total Lic Beds - 30(402) 444-7608 FAX: (402) 996-8171DOUGLAS COUNTYJOHN SHEEHAN, ADMINISTRATOR

OMAHA (DOUGLAS) - 68144 GENACUTE Medicare - 0 LIMITED LIABIL Medicaid - 0

Nebraska Orthopaedic Hospital H000105 Medicare/Medicaid - 242808 SOUTH 143RD PLAZA JCAHO Total Lic Beds - 24(402) 637-0610 FAX: (402) 637-0645OUTLOOK, LLC/NEBRASKA MEDICAL CENTERCINDY ARBAUGH, ADMINISTRATOR

BRANCH/SATELLITE: OUTPATIENT PHYSICAL AND OCCUPATIONAL THERAPY - 2725 SOUTH 144TH STREET SUITES 118 AND 218, BRANCH/SATELLITE: OUTPATIENT PHYSICAL AND OCCUPATIONAL THERAPY - 2725 SOUTH 144TH STREET SUITE 114, OMAHA

OMAHA (DOUGLAS) - 68122 GENACUTE Medicare - 0 CORPORATION Medicaid - 0

Select Specialty Hospital - Omaha (North Campus) H000104 Medicare/Medicaid - 366828 NORTH 72ND STREET, 7TH FLOOR JCAHO Total Lic Beds - 36(401) 898-2702 FAX: (402) 898-2701SELECT SPECIALTY HOSPITAL-OMAHA, INC.THOMAS THEROULT, ADMINISTRATOR



Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesOMAHA (DOUGLAS) - 68105 GENACUTE Medicare - 0 NON PROFIT - C

Medicaid - 0The Nebraska Medical Center 260011 Medicare/Medicaid - 68942ND & DEWEY AVENUE JCAHO Total Lic Beds - 689(402) 552-2000 FAX: (402) 552-2152NEBRASKA HEALTH SYSTEMGLENN FOSDICK, ADMINISTRATOR

% THE NEBRASKA MEDICAL CENTER, 987400 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198BRANCH/SATELLITE: CLARKSON WEST SHORT-STAY UNIT - 2727 S 144TH ST, OMAHA


The Nebraska Methodist Hospital 260008 Medicare/Medicaid - 4308303 DODGE STREET JCAHO Total Lic Beds - 430(402) 354-4000 FAX: (402) 354-8735NEBRASKA METHODIST HEALTH SYSTEMJOHN FRASER, ADMINISTRATOR

BRANCH/SATELLITE: CENTER POINTE OUTPATIENT CLINIC - 9239 WEST CENTER RD, SUITE 200, OMAHABRANCH/SATELLITE: DIABETES CENTER - 8601 WEST DODGE RD, OMAHABRANCH/SATELLITE: PARK EAST PROFESSIONAL BLDG - 2566 ST MARYS AVENUE, OMAHABRANCH/SATELLITE: REPRODUCTIVE HEALTH SPECIALISTS - 8111 DODGE STREET SUITE 237, BRANCH/SATELLITE: PAIN MANAGEMENT CLINIC - 8005 FARNAM DRIVE SUITE 203, OMAHABRANCH/SATELLITE: NON INVASIVE VASCULAR LAB - 8111 DODGE STREET SUITE 240, OMAHABRANCH/SATELLITE: METHODIST HEALTHWEST - 16120 WEST DODGE RD, OMAHABRANCH/SATELLITE: RENAISSANCE HEALTH CLINIC - 3612 CUMING STREET, OMAHA

ORD (VALLEY) - 68862 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS Medicaid - 0

Valley County Hospital 780001 Medicare/Medicaid - 25217 WESTRIDGE DRIVE Total Lic Beds - 25(308) 728-3211 FAX: (308) 728-7809VALLEY COUNTY HOSPITALNEELAM BHARDWAJ, ADMINISTRATOR

OSCEOLA (POLK) - 68651 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS Medicaid - 0

Annie Jeffrey Memorial County Health Center 640001 Medicare/Medicaid - 21P O BOX 428, 531 BEEBE STREET Total Lic Beds - 21(402) 747-2031 FAX: (402) 747-1405POLK COUNTYTERRY HOFFART, ADMINISTRATOR



Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesOSHKOSH (GARDEN) - 69154 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS

Medicaid - 0Garden County Health Services 330001 Medicare/Medicaid - 20P O BOX 320, 1100 WEST 2ND STREET Total Lic Beds - 20(308) 772-3283 FAX: (308) 772-3189GARDEN COUNTYDIANA STEVENS, ADMINISTRATOR

OSMOND (PIERCE) - 68765 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

Osmond General Hospital 620001 Medicare/Medicaid - 25P O BOX 429, 402 NORTH MAPLE Total Lic Beds - 25(402) 748-3393 FAX: (402) 748-3349OSMOND GENERAL HOSPITAL, INC.CELINE MLADY, ADMINISTRATOR

PAPILLION (SARPY) - 68046 GENACUTE Medicare - 0 NON PROFIT - C Medicaid - 0

Alegent Health-Midlands Community Hospital 680001 Medicare/Medicaid - 15111111 SOUTH 84TH STREET JCAHO Total Lic Beds - 151(402) 593-3000 FAX: (402) 593-3117ALEGENT HEALTHKEVIN NOKELS, ADMINISTRATOR

PAPILLION (SARPY) - 68046 GENACUTE Medicare - 40 CORPORATION Medicaid - 0

Select Specialty Hospital - Omaha, Inc. 680002 Medicare/Medicaid - 011111 SOUTH 84TH STREET JCAHO Total Lic Beds - 40(402) 898-2700 FAX: (402) 898-2701SELECT SPECIALTY HOSPITAL - OMAHA, INC. (N CAMPUS)THOMAS THEROULT, ADMINISTRATOR

PAWNEE CITY (PAWNEE) - 68420 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS Medicaid - 0

Pawnee County Memorial Hospital 590001 Medicare/Medicaid - 17P O BOX 433, 600 I STREET Total Lic Beds - 17(402) 852-2231 FAX: (402) 852-2098PAWNEE COUNTYJAMES KUBIK, ADMINISTRATOR



Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesPENDER (THURSTON) - 68047 HOSP-CAH Medicare - 0 GOVERNMENT-DIS SWING BEDS

Medicaid - 0Pender Community Hospital 770001 Medicare/Medicaid - 23P O BOX 100, 603 EARL STREET Total Lic Beds - 23(402) 385-3083 FAX: (402) 385-2155PENDER COMMUNITY HOSPITAL DISTRICTMARI DAHLIN, INTERIM ADMINIS

PLAINVIEW (PIERCE) - 68769 HOSP-CAH Medicare - 0 GOVERNMENT-CIT SWING BEDS Medicaid - 0

Plainview Area Health System 620002 Medicare/Medicaid - 20P O BOX 489, 704 NORTH 3RD Total Lic Beds - 20(402) 582-4245 FAX: (402) 582-3940PLAINVIEW PUBLIC HOSPITALREBECCA LAMBRECHT, ADMINISTRATOR

RED CLOUD (WEBSTER) - 68970 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS Medicaid - 0

Webster County Community Hospital 810001 Medicare/Medicaid - 16P O BOX 465, 6TH & FRANKLIN STREET Total Lic Beds - 16(402) 746-5600 FAX: (402) 746-2910WEBSTER COUNTYROBERT SHECKLER, ADMINISTRATOR

SCHUYLER (COLFAX) - 68661 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

Alegent Health Memorial Hospital-Schuyler 170001 Medicare/Medicaid - 15104 WEST 17TH STREET Total Lic Beds - 15(402) 352-2441 FAX: (402) 352-2643ALEGENT HEALTHCONNIE PETERS, ADMINISTRATOR

SCOTTSBLUFF (SCOTTS BLUFF) - 69361 GENACUTE Medicare - 0 NON PROFIT - C Medicaid - 0

Regional West Medical Center - North Unit 700001 Medicare/Medicaid - 1654021 AVENUE B JCAHO Total Lic Beds - 165(308) 635-3711 FAX: (308) 630-1815REGIONAL WEST MEDICAL CENTERTODD SORENSEN, ADMINISTRATOR

BRANCH/SATELLITE: DORWART CANCER TREATMENT CENTER - 830 PINE STREET, SIDNEY



Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesSEWARD (SEWARD) - 68434 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS

Medicaid - 0Memorial Hospital 720001 Medicare/Medicaid - 25300 NORTH COLUMBIA AVENUE Total Lic Beds - 25(402) 643-2971 FAX: (402) 646-4605MEMORIAL HEALTH CARE SYSTEMSROGER REAMER, ADMINISTRATOR

SIDNEY (CHEYENNE) - 69162 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

Memorial Health Center 150001 Medicare/Medicaid - 25645 OSAGE STREET Total Lic Beds - 25(308) 254-5825 FAX: (308) 254-2300CHEYENNE COUNTY HOSPITAL ASSOCIATION, INC.KENT ALAND, ADMINISTRATOR

ST PAUL (HOWARD) - 68873 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS Medicaid - 0

Howard County Community Hospital 430001 Medicare/Medicaid - 25P O BOX 406, 1113 SHERMAN STREET Total Lic Beds - 25(308) 754-4421 FAX: (308) 754-4429HOWARD COUNTYARTHUR FRABLE, ADMINISTRATOR

SUPERIOR (NUCKOLLS) - 68978 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

Brodstone Memorial Hospital 570001 Medicare/Medicaid - 25P O BOX 187, 520 EAST 10TH STREET Total Lic Beds - 25(402) 879-3281 FAX: (402) 879-3401BRODSTONE MEMORIAL HOSPITALJOHN KEELAN, ADMINISTRATOR

SYRACUSE (OTOE) - 68446 HOSP-CAH Medicare - 0 GOVERNMENT-DIS SWING BEDS Medicaid - 0

Community Memorial Hospital 580002 Medicare/Medicaid - 18P O BOX N, 1579 MIDLAND STREET Total Lic Beds - 18(402) 269-2011 FAX: (402) 269-2795COMMUNITY MEMORIAL HOSPITAL DISTRICTAL KLAASMEYER, ADMINISTRATOR



Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesTECUMSEH (JOHNSON) - 68450 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS

Medicaid - 0Johnson County Hospital 450001 Medicare/Medicaid - 18202 HIGH STREET Total Lic Beds - 18(402) 335-3361 FAX: (402) 335-6342JOHNSON COUNTY HOSPITALDIANE NEWMAN, ADMINISTRATOR

TECUMSEH (JOHNSON) - 68450 GENACUTE Medicare - 0 GOVERNMENT-STA Medicaid - 0

Tecumseh State Correctional Institution 450003 Medicare/Medicaid - 0P O BOX 900, 2725 N HWY 50 Total Lic Beds - 10(402) 335-5140 FAX: (402) 335-1278NEBRASKA DEPARTMENT OF CORRECTIONAL SERVICESDAVID THOMAS, ADMINISTRATOR

TILDEN (ANTELOPE) - 68781 HOSP-CAH Medicare - 0 GOVERNMENT-CIT SWING BEDS Medicaid - 0

Tilden Community Hospital 020002 Medicare/Medicaid - 21P O BOX 340, 308 WEST 2ND & PINE Total Lic Beds - 21(402) 368-5343 FAX: (402) 368-7746CITY OF TILDENJULIE ROEMHILDT, ADMINISTRATOR

VALENTINE (CHERRY) - 69201 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS Medicaid - 0

Cherry County Hospital 140001 Medicare/Medicaid - 25510 NORTH GREEN STREET Total Lic Beds - 25(402) 376-2525 FAX: (402) 376-1627CHERRY COUNTY HOSPITALBRENT PETERSON, ADMINISTRATOR

WAHOO (SAUNDERS) - 68066 HOSP-CAH Medicare - 0 GOVERNMENT-CO SWING BEDS Medicaid - 0

Saunders County Health Services 690001 Medicare/Medicaid - 25P O BOX 185, 805 WEST 10TH STREET Total Lic Beds - 25(402) 443-4191 FAX: (402) 443-1401SAUNDERS COUNTY HEALTH SERVICESEARL SHEEHY, ADMINISTRATOR



Licensee License No No. and Type of Ownership/ Administration Accreditation Beds Type ServicesWAYNE (WAYNE) - 68787 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS

Medicaid - 0Providence Medical Center 800001 Medicare/Medicaid - 251200 PROVIDENCE ROAD Total Lic Beds - 25(402) 375-3800 FAX: (402) 375-7989PROVIDENCE MEDICAL CENTER, INC.MARCILE THOMAS, ADMINISTRATOR

WEST POINT (CUMING) - 68788 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

St. Francis Memorial Hospital 180001 Medicare/Medicaid - 25430 NORTH MONITOR STREET Total Lic Beds - 25(402) 372-2404 FAX: (402) 372-2360FRANCISCAN CARE SERVICES, INC.RONALD BRIGGS, ADMINISTRATOR

YORK (YORK) - 68467 HOSP-CAH Medicare - 0 NON PROFIT - C SWING BEDS Medicaid - 0

York General Health Care Services 820002 Medicare/Medicaid - 252222 LINCOLN AVENUE Total Lic Beds - 25(402) 362-6671 FAX: (402) 362-0499YORK GENERAL HEALTH CARE SERVICESCHARLES SCHULZ, ADMINISTRATOR

Total Facilities: 102

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