RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA...

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STATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public Health, Licensure Unit Nebraska State Office Building 301 Centennial Mall South, Third Floor PO Box 94986 Lincoln, NE 68509-4986

Transcript of RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA...

Page 1: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

STATE OF NEBRASKA

ROSTER

RURAL HEALTH CLINIC

Department of Health and Human Services Division of Public Health, Licensure Unit

Nebraska State Office Building

301 Centennial Mall South, Third Floor PO Box 94986

Lincoln, NE 68509-4986

Page 2: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 1 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

JOHNSON COUNTY HOSPITAL

PO BOX 963, 620 MAIN STREET, SUITE A

ADAMS (GAGE) - 68301

ADAMS PRIMARY CARE

RHC-C

DIANE NEWMAN, ADMINISTRATOR

283499

(402) 988-2188 FAX:

BROWN COUNTY HOSPITAL

913 EAST ZERO STREET

c/o: SHANNON M SORENSON AINSWORTH FAMILY CLINIC, 945 EAST ZERO STREET, AINSWORTH NE 69210

AINSWORTH (BROWN) - 69210

Brown County Hospital d/b/a Ainsworth Family Clinic

RHC-C

SHANNON SORENSEN, ADMINISTRATOR

288520

(402) 387-1900 FAX:

BOONE COUNTY HEALTH CENTER

1019 SOUTH 8TH STREET

ALBION (BOONE) - 68620

BOONE COUNTY HEALTH CENTER DBA BOONE COUNTY MEDICAL

RHC-C

TANYA SHARP, ADMINISTRATOR

283480

(402) 395-5013 FAX:

BOX BUTTE GENERAL HOSPITAL

2091 BOX BUTTE AVENUE, SUITE 200 & SUITE 700

c/o: DANIEL GRIESS, CEO P O BOX 810, ALLIANCE NE 69301

ALLIANCE (BOX BUTTE) - 69301

Greater Nebraska Medical & Surgical Services - Alliance

RHC-C

SCOTT ALWIN, ADMINISTRATOR

288502

(308) 762-4300 FAX:

HARLAN COUNTY HEALTH SYSTEM BOARD OF TRUSTEES

715 BROWN STREET

c/o: HEARTLAND FAMILY MEDICINE P O BOX 836, ALMA NE 68920

ALMA (HARLAN) - 68920

Harlan County Health System d/b/a Heartland Family Medicine

RHC-C

MANUELA WOLF, ADMINISTRATOR

288516

(308) 928-2103 FAX:

TRI VALLEY HEALTH SYSTEM

P.O. BOX 389, 305 NEBRASKA AVENUE

c/o: ARAPAHOE MEDICAL CLINIC , P O BOX 389, ARAPAHOE NE 68922

ARAPAHOE (FURNAS) - 68922

ARAPAHOE MEDICAL CLINIC

RHC-C

NATE MCCORMICK, ADMINISTRATOR

283976

(308) 962-8495 FAX: (308) 962-7916

Page 3: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 2 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

CALLAWAY HOSPITAL DISTRICT

104 NORTH BROADWAY STREET

c/o: ARNOLD MEDICAL CLINIC C/O CALLAWAY DISTRICT HOSPITAL ADMINISTRATOR, PO BOX 100, 211 KIMBALL STREET, CALLAWAY NE 68825

ARNOLD (CUSTER) - 69120

ARNOLD MEDICAL CLINIC

RHC-C

MARVIN NETH, ADMINISTRATOR

283475

(308) 848-3259 FAX:

SAUNDERS MEDICAL CENTER

705 N 17TH AVENUE

c/o: SAUNDERS MEDICAL CENTER 1760 COUNTY ROAD J, WAHOO NE 68066

ASHLAND (SAUNDERS) - 68003

Saunders Medical Center d/b/a Ashland Family Clinic

RHC-C

TYLER TOLINE, ADMINISTRATOR

288539

(402) 944-2201 FAX:

GREATER SANDHILLS FAMILY HEALTHCARE PC

418 E 5TH STREET

c/o: GREATER SANDHILLS FAMILY HEALTHCARE, PC P O BOX 70, STUART NE 68780

ATKINSON (HOLT) - 68713

Greater Sandhills Family Healthcare Pc

RHC-C

ELAINE TUBBS, ADMINISTRATOR

283867

(402) 925-2994 FAX:

WEST HOLT MEMORIAL HOSPITAL, INC.

405 WEST PEARL STREET

ATKINSON (HOLT) - 68713

WEST HOLT MEDICAL CLINIC

RHC-C

GREG WEAVER, ADMINISTRATOR

283488

(402) 925-2811 FAX:

PENDER COMMUNITY HOSPITAL DISTRICT

219 MAIN STREET

c/o: MELISSA KELLY, CEO PENDER COMMUNITY HOSPITAL, P O BOX 100, PENDER NE 68047

BANCROFT (CUMING) - 68004

BANCROFT MEDICAL CLINIC

RHC-C

MELISSA KELLY, ADMINISTRATOR

288528

(402) 648-7606 FAX:

GREATER SANDHILLS FAMILY HEALTHCARE PC

P O BOX 146, 101 E SOUTH STREET

c/o: GREATER SANDHILLS FAMILY HEALTHCARE, PC P O BOX 70, STUART NE 68780

BASSETT (ROCK) - 68714

Greater Sandhills Family Healthcare Pc

RHC-C

ELAINE TUBBS, ADMINISTRATOR

283866

(402) 684-2285 FAX:

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Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 3 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

ROCK COUNTY

801 S STATE STREET

c/o: STACY KNOX ROCK COUNTY CLINIC, 400 STATE STREET, BASSETT NE 68714

BASSETT (ROCK) - 68714

ROCK COUNTY CLINIC

RHC-C

STACEY KNOX, ADMINISTRATOR

283443

(402) 684-2906 FAX: (402) 684-3822

MORRILL COUNTY HOSPITAL

320 MAIN

c/o: CHIMNEY ROCK MEDICAL CENTER P O BOX H, BAYARD NE 69334

BAYARD (MORRILL) - 69334

CHIMNEY ROCK MEDICAL CENTER

RHC-C

ROBIN STUART, ADMINISTRATOR

283997

(308) 586-1717 FAX: (308) 586-1263

BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC.

4800 HOSPITAL PARKWAY

BEATRICE (GAGE) - 68310

Beatrice Community Hospital & Health Center d/b/a Beatrice Internal Medi

RHC-C

JOHN FINDLEY, ADMINISTRATOR

288524

(402) 228-3545 FAX:

BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC.

805 WEST COURT STREET

c/o: LINDA F NUISMER BEATRICE MEDICAL CENTER PC, P O BOX 578, 805 WEST COURT STREET, BEATRICE NE 68310

BEATRICE (GAGE) - 68310

Beatrice Medical Center

RHC-C

ERIC TRUSTY, ADMINISTRATOR

288523

(402) 228-3366 FAX:

GAGE COUNTY MEDICAL CLINIC

1101 NORTH 10TH STREET

BEATRICE (GAGE) - 68310

Gage County Medical Clinic, Pc

RHC-C

RANDY MOORE, ADMINISTRATOR

288518

(402) 228-3436 FAX: (402) 223-4515

BEATRICE COMMUNITY HOSPITAL & HEALTH CENTER, INC.

4800 HOSPITAL PARKWAY, SUITE 202

BEATRICE (GAGE) - 68310

The Beatrice Women's and Children's Clinic

RHC-C

THOMAS SOMMERS, ADMINISTRATOR

288504

(402) 228-3117 FAX:

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Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 4 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

MERCY MEDICAL CENTER

212 MAIN STREET

c/o: BEEMER MEDICAL CLINIC C/O PENDER MERCY MEDICAL CLINIC, PO BOX 609, 100 VALLEY VIEW DRIVE, PENDER NE 68047

BEEMER (CUMING) - 68716

BEEMER MEDICAL CLINIC

RHC-C

LORI MINERT, ADMINISTRATOR

288527

(402) 528-3288 FAX:

DUNDY COUNTY

1313 N. CHEYENNE - P O BOX 710

c/o: RITA JONES C/O DUNDY COUNTY HOSPITAL, P O BOX 626, BENKELMAN NE 69021

BENKELMAN (DUNDY) - 69021

QUALITY HEALTHCARE SERVICES MEDICAL CLINIC

RHC-C

RITA JONES, ADMINISTRATOR

283442

(308) 423-2151 FAX: (308) 423-2217

SEDGWICK COUNTY MEMORIAL HOSPITAL

PO BOX 299, 100 WEST 3RD

BIG SPRINGS (DEUEL) - 69122

VALLEY MEDICAL CLINIC OF BIG SPRINGS

RHC-C

DAVID GARNAS, ADMINISTRATOR

283424

(308) 889-3376 FAX:

MEMORIAL COMMUNITY HOSPITAL CORPORATION

812 NORTH 22ND STREET

c/o: ROBERT C COPPLE P O BOX 250, BLAIR NE 68008

BLAIR (WASHINGTON) - 68008

Memorial Community Hospital Corporation

RHC-C

SALLY HARVEY, ADMINISTRATOR

283462

(402) 426-4611 FAX:

MARY LANNING HEALTHCARE

102 NORTH PINE

BLUE HILL (WEBSTER) - 68930

Blue Hill Medical Clinic

RHC-C

SHAWN RIGGS, ADMINISTRATOR

283498

(402) 756-2141 FAX:

CRAIG D. BARTRUFF M.D. PC

114 NORTH MAIN STREET

c/o: BRADY RURAL HEALTH CLINIC P O BOX 157, BRADY NE 69123

BRADY (LINCOLN) - 69123

BRADY RURAL HEALTH CLINIC

RHC-C

CRAIG BARTRUFF, ADMINISTRATOR

283832

(308) 584-3770 FAX:

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Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 5 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

MORRILL COUNTY HOSPITAL

1320 S STREET

c/o: VAIL OLESON MORRILL COUNTY HOSPITAL CLINIC, P O BOX 579, BRIDGEPORT NE 69336

BRIDGEPORT (MORRILL) - 69336

MORRILL COUNTY HOSPITAL CLINIC/POST

RHC-C

VAIL OLESON, ADMINISTRATOR

283430

(308) 262-1755 FAX: (308) 262-0765

THAYER COUNTY HOSPITAL

108 SOUTH FILLMORE

c/o: MELISSA GRUMMERT RN CLINIC NURSE DIRECTOR THAYER CO HEALTH SERVICES, 120 PARK AVENUE, HEBRON NE 68370

BRUNING (THAYER) - 68322

TCHS Bruning Medical Clinic

RHC-C

MICHAEL BURCHAM, SR., ADMINISTRATOR

283433

(402) 353-2055 FAX:

HUGH R HOLMQUIST, MD

410 SOUTH 8TH AVENUE, PO BOX 906

BURWELL (GARFIELD) - 68823

BURWELL FAMILY PRACTICE CLINIC

RHC-C

HUGH HOLMQUIST, ADMINISTRATOR

283836

(308) 346-5544 FAX: (308) 346-4744

VALLEY COUNTY HOSPITAL

150 NORTH 9TH AVENUE, SUITE B

c/o: VCHS MEDICAL CLINIC 2707 L STREET, ORD NE 68862

BURWELL (GARFIELD) - 68823

VCHS Medical Clinic

RHC-C

DANIEL SCHNEIDER, ADMINISTRATOR

283463

(308) 346-5442 FAX: (308) 728-7809

AVERA MCKENNAN HOSPITAL

730 WILSON

c/o: AVERA MEDICAL GROUP - ATTN TAMMY G 405 WHITTECAR AVENUE, GREGORY SD 57533

BUTTE (BOYD) - 68722

Avera Medical Group Butte

RHC-C

TAMMY GRAESSER, ADMINISTRATOR

283814

(402) 775-2508 FAX:

CALLAWAY HOSPITAL DISTRICT

213 EAST KIMBALL STREET

c/o: CALLAWAY MEDICAL CLINIC C/O CALLAWAY DISTRICT HOSPITAL ADMINISTATOR, PO BOX 100, 211 KIMBALL STREET, CALLAWAY NE 68825

CALLAWAY (CUSTER) - 68825

CALLAWAY MEDICAL CLINIC

RHC-C

MARVIN NETH, ADMINISTRATOR

283476

(308) 836-2294 FAX:

Page 7: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 6 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

TRI VALLEY HEALTH SYSTEM

P.O. BOX 488, 1305 WEST HIGHWAY 6/34

CAMBRIDGE (FURNAS) - 69022

CAMBRIDGE MEDICAL Center

RHC-C

DEBORAH HERZBERG, ADMINISTRATOR

283977

(308) 697-3317 FAX: (308) 697-4176

FRANKLIN COUNTY MEMORIAL HOSPITAL

148 SOUTH TAYLOR

CAMPBELL (FRANKLIN) - 68932

FCMH CAMPBELL MEDICAL CLINIC

RHC-C

LINDA BUSH, ADMINISTRATOR

283400

(402) 756-8080 FAX:

TERRY L. TROYER, MD

106 S 3RD STREET

c/o: COUNTRY CLINICS PC P O BOX F, ST EDWARD NE 68660

CEDAR RAPIDS (BOONE) - 68627

Country Clinics, PC/Cedar Rapids Medical Clinic

RHC-C

TERRY TROYER, ADMINISTRATOR

283864

(308) 358-0615 FAX:

MERRICK MEDICAL CENTER

2510 18TH AVENUE

c/o: MERRICK MEDICAL CENTER 1715 26TH STREET, CENTRAL CITY NE 68826

CENTRAL CITY (MERRICK) - 68826

Merrick Medical Center d/b/a Central City Medical Clinic

RHC-C

JULIE MURRAY, ADMINISTRATOR

288531

(308) 946-3845 FAX:

MERRICK MEDICAL CENTER

2510 18TH AVENUE

c/o: MERRICK MEDICAL CENTER 1715 26TH STREET, CENTRAL CITY NE 68826

CENTRAL CITY (MERRICK) - 68826

Merrick Medical Center d/b/a Central City Medical Clinic

RHC-C

JULIE MURRAY, ADMINISTRATOR

288531

(308) 946-3845 FAX:

MERRICK MEDICAL CENTER

2510 18TH AVENUE

c/o: MERRICK MEDICAL CENTER 1715 26TH STREET, CENTRAL CITY NE 68826

CENTRAL CITY (MERRICK) - 68826

Merrick Medical Center d/b/a Central City Medical Clinic

RHC-C

JULIE MURRAY, ADMINISTRATOR

288531

(308) 946-3845 FAX:

Page 8: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 7 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

HIGH PLAINS MEDICAL FOUNDATION

562 VINCENT AVENUE

c/o: MS. ANNIE MCCARTNEY SIDNEY REGIONAL MEDICAL CENTER - CHAPPELL, P O BOX 379, SIDNEY NE 69162

CHAPPELL (DEUEL) - 69129

Sidney Regional Medical Center Physicians Clinic - Chappell

RHC-C

JASON PETIK, ADMINISTRATOR

288513

(308) 874-2255 FAX:

THAYER COUNTY HOSPITAL

116 HURON STREET

c/o: MELISSA GRUMMERT RN CLINIC NURSE DIRECTOR CHESTER MEDICAL CLINIC, 120 PARK AVENUE, HEBRON NE 68370

CHESTER (THAYER) - 68327

CHESTER MEDICAL CLINIC

RHC-C

MICHAEL BURCHAM, SR., ADMINISTRATOR

283435

(402) 324-7101 FAX:

ALEGENT HEALTH MEMORIAL HOSPITAL

322 PINE STREET

c/o: ALEGENT HEALTH CLARKSON CLINIC C/O ALEGENT HEALTH MEMORIAL HOSPITAL, 104 WEST 17TH STREET, SCHUYLER NE 68661

CLARKSON (COLFAX) - 68629

ALEGENT HEALTH MEMORIAL HOSPITAL SCHUYLER

RHC-C

CONNIE PETERS, ADMINISTRATOR

283461

(402) 892-3466 FAX: (402) 000-0000

ANTELOPE MEMORIAL HOSPITAL

308 NEVADA STREET

c/o: AMH FAMILY PRACTICE ATTN: JACK GREEN-ANTELOPE MEMORIAL HOSPITAL, P O BOX 109, 109 WEST 11TH STREET, NELIGH NE 68756

CLEARWATER (ANTELOPE) - 68726

AMH CLEARWATER CLINIC

RHC-C

TAMERA KESTER, ADMINISTRATOR

283473

(402) 485-2277 FAX:

COZAD HOSPITAL DISTRICT #2

P O BOX 86, 1803 PAPIO LANE

COZAD (DAWSON) - 69130

Cozad Community Medical Clinic

RHC-C

KATHY LEMMER, ADMINISTRATOR

288512

(308) 784-3039 FAX:

CHADRON COMMUNITY HOSPITAL, INC.

P.O. BOX 272, 11 PADDOCK ST.

CRAWFORD (DAWES) - 69339

LEGEND BUTTES HEALTH SERVICES - CLINIC

RHC-C

ANNA TURMAN, ADMINISTRATOR

283405

(308) 665-1770 FAX:

Page 9: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 8 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

AVERA SACRED HEART HEALTH SERVICES

804 CHASE AVENUE

c/o: JILL STAMP P O BOX 4, EWING NE 68735

CREIGHTON (KNOX) - 68729

Avera Medical Group Laflan

RHC-C

JILL STAMP, ADMINISTRATOR

288521

(402) 358-5335 FAX:

CRETE AREA MEDICAL CENTER

2910 BETTEN DRIVE

CRETE (SALINE) - 68333

CRETE AREA MEDICAL CENTER

RHC-C

STEPHANIE HOLLMON, ADMINISTRATOR

283468

(402) 826-2102 FAX:

THE PHYSICIAN NETWORK

969 EAST HIGHWAY 33

CRETE (SALINE) - 68333

SALINE MEDICAL SPECIALTIES

RHC-C

BARRY HOOVER, ADMINISTRATOR

283857

(402) 826-3222 FAX:

AVERA SACRED HEART HEALTH SERVICES

203 WEST MAIN STREET

CROFTON (KNOX) - 68730

SACRED HEART HEALTH SERVICES dba Avera Medical Group Crofton

RHC-C

KYLE TACKE, ADMINISTRATOR

283427

(402) 388-2343 FAX: (402) 000-0000

COMMUNITY HOSPITAL ASSOCIATION

302 EAST 6TH STREET

c/o: DIANA GROSS COMMUNITY HOSPITAL, P O BOX 1328, MCCOOK NE 69001

CURTIS (FRONTIER) - 69025

CURTIS MEDICAL CENTER

RHC-C

DIANA GROSS, ADMINISTRATOR

283980

(308) 367-4162 FAX:

THAYER COUNTY HOSPITAL

105 NORTH LINDEN AVENUE

c/o: THAYER COUNTY HEALTH SERVICES 120 PARK AVENUE, HEBRON NE 68370

DAVENPORT (THAYER) - 68335

DAVENPORT MEDICAL CLINIC

RHC-C

MICHAEL BURCHAM, SR., ADMINISTRATOR

283436

(402) 364-2105 FAX:

Page 10: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 9 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

358 S 10TH, P O BOX 110

DAVID CITY (BUTLER) - 68632

Witter Family Medicine

RHC-C

JOANNA WITTER, ADMINISTRATOR

283868

(402) 367-3322 FAX: (402) 367-3311

BURGESS HEALTH CENTER

823 S BROADWAY, SUITE 120

c/o: TERESA BUTLER BURGESS HEALTH CENTER, 1600 DIAMOND, ONAWA IA 51040

DECATUR (BURT) - 68020

Burgess Family Clinic-Decatur

RHC-C

FRANCIS TRAMP, ADMINISTRATOR

288538

(402) 349-5592 FAX:

THAYER COUNTY HEALTH SERVICES

615 4TH STREET

c/o: JOHN D. RUHGE 120 PARK AVENUE, HEBRON NE 68370

DESHLER (THAYER) - 68340

THAYER COUNTY HEALTH SERVICES DESHLER MEDICAL CLINIC

RHC-C

JANELLE ALI-DINAR, ADMINISTRATOR

283446

(402) 365-7604 FAX:

BRODSTONE MEMORIAL HOSPITAL

315 NORTH C STREET

c/o: JOHN KEELAN, CEO BRODSTONE MEMORIAL HOSPITAL, 520 E 10TH STREET, SUPERIOR NE 68978

EDGAR (CLAY) - 68935

Edgar Medical Clinic

RHC-C

JOHN KEELAN, ADMINISTRATOR

283496

(402) 224-3344 FAX:

ANTELOPE MEMORIAL HOSPITAL

101 WEST CEDAR STREET

c/o: ANTELOPE MEMORIAL HOSPITAL - AMH CLINIC 109 WEST 11TH STREET, PO BOX 109, NELIGH NE 68756

ELGIN (ANTELOPE) - 68636

AMH ELGIN CLINIC

RHC-C

TAMERA KESTER, ADMINISTRATOR

283472

(402) 843-5444 FAX:

LEXINGTON REGIONAL HEALTH CENTER

202 SMITH AVENUE

c/o: LESLIE MARSH P O BOX 980, LEXINGTON NE 68850

ELWOOD (GOSPER) - 68937

Lexington Regional Health Center Elwood Clinic

RHC-C

DANA STEINER, ADMINISTRATOR

288544

(402) 324-5651 FAX:

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Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 10 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

MERCY MEDICAL CENTER

1012 S MAIN ST

c/o: LORI MINERT P O BOX 609, PENDER NE 68047

EMERSON (DAKOTA) - 68733

EMERSON MEDICAL CLINIC

RHC-C

MELISSA KELLY, ADMINISTRATOR

288525

(402) 695-2453 FAX:

JEFFERSON COMMUNITY HEALTH CENTER INC

825 22ND ST

c/o: JEFFERSON COMMUNITY HEALTH CENTER INC P O BOX 277, FAIRBURY NE 68352

FAIRBURY (JEFFERSON) - 68352

THE FAIRBURY CLINIC

RHC-C

CHAD JURGENS, ADMINISTRATOR

288541

(402) 729-3361 FAX:

COMMUNITY MEDICAL CENTER, INC.

3307 N BARADA STREET

c/o: FAMILY MEDICINE C/O PATTY WINSLOW, CLINIC MANAGER, PO BOX 399, 2307 BARADA STREET, FALLS CITY NE 68355

FALLS CITY (RICHARDSON) - 68355

FAMILY MEDICINE

RHC-C

RYAN LARSEN, ADMINISTRATOR

283449

(402) 245-4475 FAX: (402) 245-4841

MEMORIAL COMMUNITY HOSPITAL CORPORATION

4929 COUNTY ROAD P43

FORT CALHOUN (WASHINGTON) - 68023

Fort Calhoun Clinic

RHC-C

LANA PLEAK, ADMINISTRATOR

288506

(402) 468-4655 FAX:

FRANKLIN COUNTY MEMORIAL HOSPITAL

121 15TH AVE

FRANKLIN (FRANKLIN) - 68939

FCMH POOL MEDICAL CLINIC

RHC-C

THERESA RIZZO, ADMINISTRATOR

283999

(308) 425-6249 FAX:

CRETE AREA MEDICAL CENTER

1210 SECOND STREET

c/o: REBEKAH MUSSMAN, PRESIDENT & CEO CRETE AREA MEDICAL CENTER, P O BOX 220, CRETE NE 68333

FRIEND (SALINE) - 68359

Crete Area Medical Center d/b/a Friend Medical Clinic

RHC-C

REBEKAH MUSSMAN, ADMINISTRATOR

288545

(402) 947-2021 FAX:

Page 12: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 11 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

MERRICK MEDICAL CENTER

901 BROADWAY STREET

c/o: MERRICK MEDICAL CENTER 1715 26TH STREET, CENTRAL CITY NE 68826

FULLERTON (NANCE) - 68638

Merrick Medical Center d/b/a Fullerton Medical Clinic

RHC-C

JULIE MURRAY, ADMINISTRATOR

288530

(308) 536-2458 FAX:

MERRICK MEDICAL CENTER

901 BROADWAY STREET

c/o: MERRICK MEDICAL CENTER 1715 26TH STREET, CENTRAL CITY NE 68826

FULLERTON (NANCE) - 68638

Merrick Medical Center d/b/a Fullerton Medical Clinic

RHC-C

JULIE MURRAY, ADMINISTRATOR

288530

(308) 536-2458 FAX:

BOONE COUNTY

405 BROADWAY STREET

FULLERTON (NANCE) - 68638

NANCE COUNTY MEDICAL CLINIC

RHC-C

TANYA SHARP, ADMINISTRATOR

283458

(308) 536-2446 FAX:

FILLMORE COUNTY MEDICAL CENTER, P.C.

1840 F STREET

c/o: FILLMORE COUNTY MEDICAL CENTER PC P O BOX 268, GENEVA NE 68361

GENEVA (FILLMORE) - 68361

FILLMORE COUNTY MEDICAL CENTER, PC.

RHC-C

KAREN LEACH, ADMINISTRATOR

283844

(402) 759-4485 FAX:

GENOA COMMUNITY HOSPITAL

505 SOUTH PARK STREET

c/o: PARK STREET MEDICAL CLINIC PC 706 EWING STREET, GENOA NE 68640

GENOA (NANCE) - 68640

PARK STREET MEDICAL CLINIC

RHC-C

CORY NELSON, ADMINISTRATOR

288547

(402) 993-2206 FAX: (402) 993-2595

GORDON MEMORIAL HOSPITAL DISTRICT

807 N ASH

c/o: REBECCA JENSEN - CLINIC DIRECTOR 807 NORTH ASH ST, GORDON NE 69343

GORDON (SHERIDAN) - 69343

GORDON CLINIC

RHC-C

DONALD WEIDEMANN, ADMINISTRATOR

283448

(308) 282-1442 FAX:

Page 13: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 12 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

CRAIG D. BARTRUFF M.D. PC

619 10TH STREET, P O BOX 389

GOTHENBURG (DAWSON) - 69138

Gothenburg Medical Arts Rural Health Clinic

RHC-C

CRAIG BARTRUFF, ADMINISTRATOR

283876

(308) 537-3673 FAX:

GOTHENBURG MEMORIAL HOSPITAL DISTRICT

918 20TH STREET

c/o: LAURA URBANEC GOTHENBURG CLINIC, P O BOX 469, GOTHENBURG NE 69138

GOTHENBURG (DAWSON) - 69138

Gothenburg Memorial Hospital

RHC-C

LAURA URBANEC, ADMINISTRATOR

288536

(308) 537-4066 FAX:

PERKINS COUNTY HEALTH SERVICES

912 CENTRAL AVENUE

c/o: GRANT MEDICAL CLINIC PO BOX 788, 115 WEST 3RD STREET, GRANT NE 69140

GRANT (PERKINS) - 69140

GRANT MEDICAL CLINIC

RHC-C

JIM LEBRUN, ADMINISTRATOR

283989

(308) 352-7100 FAX: (308) 352-7103

HOWARD COUNTY MEDICAL CENTER

109 WEST O'CONNOR AVENUE

c/o: HOWARD COUNTY MEDICAL CENTER ATTN KATHLEEN M HURST 1113 SHERMAN STREET, P O BOX 406, SAINT PAUL NE 68873

GREELEY (GREELEY) - 68842

Howard County Medical Center d/b/a Greeley Medical Clinic

RHC-C

PAULA RYAN, ADMINISTRATOR

288511

(308) 428-3018 FAX:

AVERA SACRED HEART RURAL HEALTH CLINICS

405 WEST DARLENE STREET

c/o: MAGGIE FLEMING P O BOX 937, HARTINGTON NE 68739

HARTINGTON (CEDAR) - 68739

SACRED HEART HEALTH SERVICES d/b/a Avera Medical Group Hartin

RHC-C

KYLE TACKE, ADMINISTRATOR

283428

(402) 254-3935 FAX:

THAYER COUNTY HEALTH SERVICES

120 PARK AVENUE

c/o: MELISSA GRUMMERT, RN 120 PARK AVENUE, HEBRON NE 68370

HEBRON (THAYER) - 68370

THAYER COUNTY MEMORIAL HOSPITAL

RHC-C

MICHAEL BURCHAM, SR., ADMINISTRATOR

283434

(402) 768-7203 FAX:

Page 14: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 13 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

BOX BUTTE GENERAL HOSPITAL

812 LARAMIE AVENUE

c/o: SCOTT ALWIN, CAO C/O BOX BUTTE GENERAL HOSPITAL, 2101 BOX BUTTE AVENUE, ALLIANCE NE 69301

HEMINGFORD (BOX BUTTE) - 69348

Greater Nebraska Medical & Surgical Services - Hemingford

RHC-C

DANIEL GRIESS, ADMINISTRATOR

283454

(308) 487-3322 FAX: (308) 000-0000

HENDERSON HEALTH CARE SERVICES, INC

1621 FRONT STREET

HENDERSON (YORK) - 68371

HENDERSON FAMILY CARE

RHC-C

CHERYL BROWN, ADMINISTRATOR

283421

(402) 723-4512 FAX:

FRANKLIN COUNTY MEMORIAL HOSPITAL

511 HUBBARD

c/o: THERESA RIZZO FRANKLIN COUNTY MEMORIAL HOSPITAL, 1406 Q STREET, FRANKLIN NE 68939

HILDRETH (FRANKLIN) - 68947

FCMH HILDRETH MEDICAL CLINIC

RHC-C

THERESA RIZZO, ADMINISTRATOR

283998

(308) 938-4885 FAX:

PHELPS MEMORIAL HEALTH CENTER

1315 TIBBALS STREET

c/o: MARK HARREL, CEO 1215 TIBBALS STREET, HOLDREGE NE 68949

HOLDREGE (PHELPS) - 68949

Phelps Memorial Health Center d/b/a Phelps Medical Group

RHC-C

MARK HARREL, ADMINISTRATOR

288543

(308) 995-6111 FAX:

FRANCISCAN CARE SERVICES, INC.

600 E FULTON STREET, SUITE A

c/o: DINKLAGE MEDICAL CLINIC 500 E DECATUR STREET, WEST POINT NE 68788

HOOPER (DODGE) - 68031

Franciscan Care Services Inc

RHC-C

RONALD BRIGGS, ADMINISTRATOR

288537

(402) 654-2221 FAX:

ALEGENT HEALTH MEMORIAL HOSPITAL

P O BOX 98, 121 S 6TH STREET

HOWELLS (COLFAX) - 68641

Alegent Health Memorial Hospital Schuyler

RHC-C

DUTCHESS SCOTT, ADMINISTRATOR

283403

(402) 986-1115 FAX:

Page 15: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 14 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

FRANCISCAN CARE SERVICES, INC.

119 SOUTH 3RD STREET

HOWELLS (COLFAX) - 68641

FRANCISCAN CARE SERVICES, INC dba HOWELLS FAMILY PRACTIC

RHC-C

JERRY WORDEKEMPER, ADMINISTRATOR

283483

(402) 986-0830 FAX:

COMMUNITY MEDICAL CENTER, INC.

1120 GRAND AVENUE

c/o: PATTY WINSLOW FAMILY MEDICINE, P O BOX 399, FALLS CITY NE 68355

HUMBOLDT (RICHARDSON) - 68376

HUMBOLDT FAMILY MEDICINE

RHC-C

RYAN LARSON, ADMINISTRATOR

283493

(402) 862-3280 FAX:

COLUMBUS COMMUNITY HOSPITAL, INC.

303 MAIN STREET

c/o: MICHAEL HANSEN HUMPHREY MEDICAL CLINIC, P O BOX 1800, COLUMBUS NE 68602

HUMPHREY (PLATTE) - 68642

Columbus Community Hospital Inc d/b/a Humphrey Medical Clinic

RHC-C

MICHAEL HANSEN, ADMINISTRATOR

288519

(402) 923-0412 FAX:

BOX BUTTE GENERAL HOSPITAL

111 SOUTH MAIN STREET

c/o: GREATER NE MEDICAL & SURGICAL SERVICES - HYANNIS BOX BUTTE GENERAL HOSPITAL, P O BOX 810, ALLIANCE NE 69301

HYANNIS (GRANT) - 69350

Greater Nebraska Medical & Surgical Services - Hyannis

RHC-C

LORI MAZANEC, ADMINISTRATOR

283467

(308) 458-2436 FAX:

CHASE COUNTY COMMUNITY HOSPITAL

600 WEST 12TH STREET

IMPERIAL (CHASE) - 69033

CHASE COUNTY COMMUNITY HOSPITAL dba CHASE COUNTY CLINI

RHC-C

LOLA JONES, ADMINISTRATOR

283490

(308) 882-7299 FAX:

TRI VALLEY HEALTH SYSTEM

119 SOUTH FOURTH

c/o: INDIANOLA MEDICAL CLINIC TRI VALLEY HEALTH SYSTEM, P O BOX 488, CAMBRIDGE NE 69022

INDIANOLA (RED WILLOW) - 69034

INDIANOLA MEDICAL CLINIC

RHC-C

MARGIE MOLITOR, INTERIM ADMINIS

283985

(308) 364-9290 FAX: (308) 364-2424

Page 16: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 15 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

KIMBALL COUNTY

505 SOUTH BURG STREET

KIMBALL (KIMBALL) - 69145

KIMBALL COUNTY HOSPITAL CLINIC

RHC-C

KENNETH HUNTER, ADMINISTRATOR

283437

(308) 235-1966 FAX: (308) 235-2403

LEXINGTON REGIONAL HEALTH CENTER

1105 N ERIE STREET

c/o: LESLIE D MARSH LEXINGTON REGIONAL HEALTH CENTER, P O BOX 980, LEXINGTON NE 68850

LEXINGTON (DAWSON) - 68850

Lexington Regional Health Center d/b/a Family Medicine Specialists

RHC-C

LESLIE MARSH, ADMINISTRATOR

288540

(308) 324-8308 FAX:

HOWARD COUNTY MEDICAL CENTER

130 N 6TH STREET, SUITE A

c/o: KATHY HURST HOWARD COUNTY MEDICAL CENTER, 1113 SHERMAN STREET, P O BOX 406, ST. PAUL NE 68873

LOUP CITY (SHERMAN) - 68853

Howard County Medical Center

RHC-C

KATHY HURST, ADMINISTRATOR

288546

(308) 745-0801 FAX:

VALLEY COUNTY HOSPITAL

130 NORTH 6TH STREET, SUITE B

c/o: VCHS MEDICAL CLINIC 2707 L STREET, ORD NE 68862

LOUP CITY (SHERMAN) - 68853

Valley County Hospital d/b/a VCHS Medical Clinic

RHC-C

WILLIAM SUGG, ADMINISTRATOR

288529

(308) 745-0324 FAX:

OAKLAND MERCY HOSPITAL

220 MAIN, BOX 229

c/o: SHAWN SMITH 211 N ENGDAHL AVENUE, OAKLAND NE 68045

LYONS (BURT) - 68038

LYONS MERCY MEDICAL CLINIC

RHC-C

JOHN WERNER, ADMINISTRATOR

283401

(402) 687-2171 FAX:

MEMORIAL HEALTH CARE SYSTEM

119 SOUTH C STREET

c/o: TERRI LANNAN 250 N COLUMBIA AVE, SEWARD NE 68434

MILFORD (SEWARD) - 68405

MILFORD FAMILY MEDICAL Center

RHC-C

TERRI LANNAN, ADMINISTRATOR

283432

(402) 761-3307 FAX:

Page 17: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 16 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

KEARNEY COUNTY HEALTH SERVICES

727 EAST FIRST STREET

MINDEN (KEARNEY) - 68959

KEARNEY COUNTY HEALTH SERVICES

RHC-C

FRED MEIS, ADMINISTRATOR

283416

(308) 832-1440 FAX:

REGIONAL WEST PHYSICIANS CLINIC

302 CENTER AVENUE

c/o: REGIONAL WEST PHYSICIANS CLINIC 4021 AVENUE B, SCOTTSBLUFF NE 69361

MORRILL (SCOTTS BLUFF) - 69358

REGIONAL WEST PHYSICIANS CLINIC

RHC-C

DAVID GRIFFITH, ADMINISTRATOR

283821

(308) 247-3475 FAX:

THE PHYSICIAN NETWORK

1301 GRUNDEMAN BLVD, SUITE A

NEBRASKA CITY (OTOE) - 68410

St Marys Community Hospital

RHC-C

DANIEL KELLY, ADMINISTRATOR

288522

(402) 873-4242 FAX:

ANTELOPE MEMORIAL HOSPITAL

P O BOX 109, 109 WEST 11TH

NELIGH (ANTELOPE) - 68756

AMH FAMILY PRACTICE

RHC-C

JACK GREEN, ADMINISTRATOR

283438

(402) 887-5440 FAX:

BRODSTONE MEMORIAL HOSPITAL

76 WEST 8TH STREET

c/o: SUPERIOR FAMILY MEDICAL CENTER P O BOX 407, SUPERIOR NE 68978

NELSON (NUCKOLLS) - 68961

SUPERIOR FAMILY MEDICAL CENTER

RHC-C

JUDY BAKER, ADMINISTRATOR

283479

(402) 225-2375 FAX:

BOONE COUNTY HEALTH CENTER

104 NORTH 1ST STREET

c/o: VICTOR N LEE BOONE COUNTY HEALTH CENTER, P O BOX 151, ALBION NE 68620

NEWMAN GROVE (MADISON) - 68758

Boone County Health Center d/b/a Newman Grove Medical Clinic

RHC-C

TANYA SHARP, ADMINISTRATOR

288542

(402) 447-6214 FAX:

Page 18: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 17 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

SACRED HEART RURAL HEALTH CLINICS, INC

254-10 PARK AVE APT E, PO BOX 254

NIOBRARA (KNOX) - 68760

Sacred Heart Health Services d/b/a AVERA MEDICAL Group Niobrara

RHC-C

KYLE TACKE, ADMINISTRATOR

283460

(402) 857-3398 FAX:

PETER D LUENINGHOENER, MD

304 E DOUGLAS STREET

O' NEILL (HOLT) - 68763

Elkhorn Valley Family Medicine Pc

RHC-C

DAVID FUCHSER, ADMINISTRATOR

283879

(402) 336-4222 FAX:

ST. ANTHONY'S HOSPITAL

300 NORTH 2ND STREET

c/o: CINDY JAKUBOWSKI AVERA MEDICAL GROUP O'NEILL, 300 NORTH 2ND STREET, SUITE 100, O'NEILL NE 68763

O' NEILL (HOLT) - 68763

St Anthonys Hospital d/b/a Avera Medical Group ONeill

RHC-C

TODD CONSBRUCK, ADMINISTRATOR

288507

(402) 336-2900 FAX:

FRANCISCAN CARE SERVICES, INC.

100 WEST 9TH STREET

OAKLAND (BURT) - 68045

FRANCISCAN CARE SERVICES, INC dba OAKLAND FAMILY PRACTIC

RHC-C

JERRY WORDEKEMPER, ADMINISTRATOR

283485

(402) 685-5120 FAX:

OAKLAND MERCY HOSPITAL

211 NORTH ENGDAHL

c/o: SHAWN SMITH 211 N ENGLISH AVENUE, OAKLAND NE 68045

OAKLAND (BURT) - 68045

OAKLAND MERCY MEDICAL CLINIC

RHC-C

JOHN WERNER, ADMINISTRATOR

283456

(402) 685-5116 FAX:

BANNER HEALTH

2601 N SPRUCE STREET, SUITE A

OGALLALA (KEITH) - 69153

Ogallala Community Hospital

RHC-C

LEAH OLSON, ADMINISTRATOR

288548

(308) 284-3645 FAX:

Page 19: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 18 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

ANTELOPE MEMORIAL HOSPITAL

103 WASHINGTON STREET

c/o: ORCHARD MEDICAL CLINIC ATTN: TAMERA J. KESTER-ANTELOPE MEMORIAL HOSPITAL, PO BOX 109, NELIGH NE 68756

ORCHARD (ANTELOPE) - 68764

ORCHARD MEDICAL CLINIC

RHC-C

TAMERA KESTER, ADMINISTRATOR

283471

(402) 893-5155 FAX:

GARDEN COUNTY HOSPITAL

1100 WEST 2ND STREET

OSHKOSH (GARDEN) - 69154

Regional West Garden County d/b/a Regional West GARDEN COUNTY

RHC-C

WILLIAM GILES, ADMINISTRATOR

283440

(308) 772-3283 FAX:

HARLAN COUNTY HEALTH SYSTEM BOARD OF TRUSTEES

811 HOWELL STREET

c/o: HEARTLAND FAMILY MEDICINE P O BOX 836, ALMA NE 68920

OXFORD (FURNAS) - 68967

Harlan County Health System d/b/a Heartland Family Medicine

RHC-C

MANUELA WOLF, ADMINISTRATOR

288515

(308) 824-3288 FAX:

PAWNEE COUNTY MEMORIAL HOSPITAL

600 I STREET, P O BOX 433

PAWNEE CITY (PAWNEE) - 68420

PAWNEE COUNTY RURAL HEALTH CLINIC

RHC-C

JAMES KUBIK, ADMINISTRATOR

283984

(402) 852-2311 FAX:

PENDER COMMUNITY HOSPITAL DISTRICT

100 VALLEY VIEW DRIVE, SUITE 1

PENDER (THURSTON) - 68047

Pender Medical Clinic

RHC-C

BRIAN MONSMA, INTERIM ADMINIS

288526

(402) 385-3033 FAX:

AVERA SACRED HEART HOSPITAL

503 N 6TH STREET

c/o: AVERA PIERCE MEDICAL CLINIC 1000 W 4TH STREET, SUITE 2, YANKTON SD 57078

PIERCE (PIERCE) - 68767

Avera Medical Group Pierce

RHC-C

KYLE TACKE, ADMINISTRATOR

288509

(402) 329-6780 FAX:

Page 20: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 19 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

PLAINVIEW AREA HEALTH SYSTEM

704 NORTH 3RD STREET, BOX 490

c/o: LORI KOUNOVSKY P O BOX 490, PLAINVIEW NE 68769

PLAINVIEW (PIERCE) - 68769

Alegent Creighton Health

RHC-C

RICHARD GAMEL, ADMINISTRATOR

283402

(402) 582-4245 FAX:

MERCY MEDICAL SERVICES

111 2ND STREET

c/o: MERCY MEDICAL SERVICES P O BOX 328, SIOUX CITY IA 51102

PONCA (DIXON) - 68770

Ponca Mercy Medical Clinic

RHC-C

LANCE LARSON, ADMINISTRATOR

283870

(402) 755-2231 FAX:

MERCY MEDICAL SERVICES

111 2ND STREET

c/o: LANCE LARSON PONCA MERCY MEDICAL CLINIC, 111 E 2ND STREET, PONCA NE 68776

PONCA (DIXON) - 68770

Ponca Mercy Medical Clinic

RHC-C

LANCE LARSON, ADMINISTRATOR

283870

(402) 755-2231 FAX:

922 1/2 SHERMAN STREET

POTTER (CHEYENNE) - 69156

KHS Potter Clinic

RHC-C

KENNETH HUNTER, ADMINISTRATOR

288532

(308) 879-0155 FAX:

OSMOND GENERAL HOSPITAL, INC.

106 E WAYNE STREET

c/o: LON KNIEVEL OSMOND GENERAL HOSPITAL, P O BOX 429, OSMOND NE 68765

RANDOLPH (CEDAR) - 68771

Randolph Family Practice Clinic

RHC-C

LON KNIEVEL, ADMINISTRATOR

288533

(402) 337-0200 FAX:

COUNTY MEDICAL SERVICES, INC.

313 NORTH WEBSTER, P O BOX 467

P O BOX 315, FRANKLIN NE 68939

RED CLOUD (WEBSTER) - 68970

MAIN STREET MEDICAL CLINIC

RHC-C

LINDA BUSH, ADMINISTRATOR

283813

(402) 746-2282 FAX:

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Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 20 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

WEBSTER COUNTY COMMUNITY HOSPITAL

P O BOX 465, 6TH & FRANKLIN STS

c/o: WEBSTER COUNTY CLINIC PO BOX 465, 721 WEST 6TH AVENUE, RED CLOUD NE 68970

RED CLOUD (WEBSTER) - 68970

WEBSTER COUNTY CLINIC

RHC-C

REBECCA LICKING, ADMINISTRATOR

283408

(402) 746-5614 FAX: (402) 746-5684

GORDON MEMORIAL HOSPITAL DISTRICT

307 CONRAD STREET

RUSHVILLE (SHERIDAN) - 69360

RUSHVILLE CLINIC

RHC-C

DONALD WEIDEMANN, ADMINISTRATOR

283451

(308) 327-2757 FAX:

TERRY L. TROYER, MD

1102 WATER STREET

c/o: COUNTRY CLINICS, PC/ST. EDWARD MEDICAL CLINIC P O BOX F, ST EDWARD NE 68660

SAINT EDWARD (BOONE) - 68660

Country Clinics, PC/ST Edward Medical Clinic

RHC-C

VICKIE FRITZGES, ADMINISTRATOR

283863

(402) 678-2232 FAX:

ALEGENT HEALTH MEMORIAL HOSPITAL

1721 COLFAX STREET

SCHUYLER (COLFAX) - 68661

ALEGENT Health Memorial Hospital Schuyler

RHC-C

CONNIE PETERS, ADMINISTRATOR

283418

(402) 352-3745 FAX:

FRANCISCAN CARE SERVICES, INC.

429 MAIN STREET

c/o: ANASTASIA STOKELY 500 E DECATUR STREET, WEST POINT NE 68788

SCRIBNER (DODGE) - 68057

SCRIBNER MEDICAL CLINIC

RHC-C

JERRY WORDEKEMPER, ADMINISTRATOR

283486

(402) 664-3414 FAX: (402) 664-2415

MEMORIAL HEALTH CARE SYSTEM

250 NORTH COLUMBIA

SEWARD (SEWARD) - 68434

SEWARD FAMILY MEDICAL CENTER

RHC-C

TERRI LANNAN, ADMINISTRATOR

283409

(402) 643-4800 FAX:

Page 22: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 21 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

HIGH PLAINS MEDICAL FOUNDATION

1000 POLE CREEK XING

c/o: ANNIE MCCARTNEY SIDNEY REGIONAL MEDICAL CENTER PHYSICIANS CLINIC, P O BOX 379, SIDNEY NE 69162

SIDNEY (CHEYENNE) - 69162

Sidney Regional Medical Center Physicians Clinic

RHC-C

JASON PETIK, ADMINISTRATOR

288514

(308) 254-5544 FAX: (308) 254-2672

BOONE COUNTY HEALTH CENTER

151 NORTH CHESTNUT

SPALDING (GREELEY) - 68665

BOONE COUNTY HEALTH CENTER DBA SPALDING MEDICAL CLINIC

RHC-C

TANYA SHARP, ADMINISTRATOR

283481

(308) 497-2485 FAX:

HOWARD COUNTY COMMUNITY HOSPITAL

1113 SHERMAN STREET

c/o: HOWARD COUNTY MEDICAL CLINIC P O BOX 405, SAINT PAUL NE 68873

ST PAUL (HOWARD) - 68873

HOWARD COUNTY MEDICAL CLINIC

RHC-C

ARLAN JOHNSON, ADMINISTRATOR

283455

(308) 754-5447 FAX: (308) 754-5449

DUNDY COUNTY HOSPITAL

903 BAILEY STREET

c/o: RITA A JONES C/O DUNDY COUNTY HOSPITAL, P O BOX 626, BENKELMAN NE 69021

STRATTON (HITCHCOCK) - 69043

QUALITY HEALTHCARE SERVICES MEDICAL CLINIC

RHC-C

RITA JONES, ADMINISTRATOR

283441

(308) 276-2411 FAX: (308) 276-2415

GREATER SANDHILLS FAMILY HEALTHCARE PC

110 W 2ND STREET

c/o: GREATER SANDHILLS FAMILY HEALTHCARE PC P O BOX 70, STUART NE 68780

STUART (HOLT) - 68780

Greater Sandhills Family Healthcare Pc

RHC-C

ELAINE TUBBS, ADMINISTRATOR

283865

(402) 924-3777 FAX:

BRODSTONE MEMORIAL HOSPITAL

PO BOX 407, 525 EAST 11TH STREET

c/o: JUDY BAKER SUPERIOR FAMILY MEDICAL CENTER, P O BOX 407, SUPERIOR NE 68978

SUPERIOR (NUCKOLLS) - 68978

SUPERIOR FAMILY MEDICAL CENTER

RHC-C

SANDRA BORDEN, INTERIM ADMINIS

283478

(402) 879-4781 FAX:

Page 23: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 22 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

HENDERSON HEALTH CARE SERVICES, INC

208 NORTH FRENCH AVENUE

c/o: HENDERSON HEALTH CARE SERVICES SUTTON FAMILY PRACTICE, 1621 FRONT STREET, HENDERSON NE 68371

SUTTON (CLAY) - 68979

Henderson Health Care Services, Inc.

RHC-C

CHERYL BROWN, ADMINISTRATOR

283494

(402) 773-2130 FAX:

COMMUNITY MEMORIAL HOSPITAL DISTRICT

277 EAST 17TH STREET

c/o: LORETTA TEIXEIRA SYRACUSE MEDICAL CENTER, P O BOX M, SYRACUSE NE 68446

SYRACUSE (OTOE) - 68446

SYRACUSE MEDICAL CENTER

RHC-C

MICHAEL HARVEY, ADMINISTRATOR

283470

(402) 269-2411 FAX: (402) 269-3369

JOHNSON COUNTY HOSPITAL

202 HIGH STREET, SUITE 100

TECUMSEH (JOHNSON) - 68450

Tecumseh Family Health

RHC-C

DIANE NEWMAN, ADMINISTRATOR

283996

(402) 335-2811 FAX: (402) 335-2826

MEMORIAL COMMUNITY HOSPITAL CORPORATION

120 S. 9TH ST.

c/o: LANA M PLEAK 810 NORTH 22ND STREET, BLAIR NE 68008

TEKAMAH (BURT) - 68061

COTTONWOOD RURAL HEALTH CLINIC

RHC-C

ROBERT COPPLE, ADMINISTRATOR

283404

(402) 374-1585 FAX: (402) 374-1612

OAKLAND MERCY HOSPITAL

1121 SOUTH 13TH STREET

c/o: TEKAMAH MERCY MEDICAL CLINIC OAKLAND MERCY HOSPITAL, 601 EAST 2ND STREET, OAKLAND NE 68045

TEKAMAH (BURT) - 68061

Oakland Mercy Hospital d/b/a Tekamah Mercy Medical Clinic

RHC-C

JOHN WERNER, ADMINISTRATOR

288501

(402) 685-7590 FAX:

ANTELOPE MEMORIAL HOSPITAL

104 SOUTH CENTER

c/o: AMH-TILDEN CLINIC ATTN: JACK GREEN-ANTELOPE MEMORIAL HOSPITAL, P O BOX 109, NELIGH NE 68756

TILDEN (ANTELOPE) - 68781

AMH-TILDEN CLINIC

RHC-C

TAMERA KESTER, ADMINISTRATOR

283474

(402) 368-5520 FAX:

Page 24: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 23 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

MCCOOK COMMUNITY HOSPITAL

406 EAST 1ST STREET

c/o: DIANA GROSS COMMUNITY HOSPITAL, P O BOX 1328, MCCOOK NE 69001

TRENTON (HITCHCOCK) - 69044

TRENTON REGIONAL MEDICAL CENTER

RHC-C

DIANA GROSS, ADMINISTRATOR

288500

(308) 334-5155 FAX:

MEMORIAL HEALTHCARE SYSTEMS

100 4TH STREET

c/o: MEMORIAL HEALTH CARE SYSTEMS 250 NORTH COLUMBIA, SEWARD NE 68434

UTICA (SEWARD) - 68456

MEMORIAL CLINIC-UTICA

RHC-C

TERRI LANNAN, ADMINISTRATOR

283994

(402) 534-2081 FAX: (402) 534-0095

CHERRY COUNTY HOSPITAL

512 NORTH GREEN STREET

VALENTINE (CHERRY) - 69201

CHERRY COUNTY CLINIC

RHC-C

ROS BEEBOUT

283477

(402) 376-3770 FAX:

VALENTINE MEDICAL CLINIC LLC

502 N CHERRY STREET

VALENTINE (CHERRY) - 69201

Valentine Medical Clinic, Llc

RHC-C

DEBRA RYSCHON, ADMINISTRATOR

283872

(402) 376-2200 FAX:

AVERA SACRED HEART HEALTH SERVICES

401 JAMES STREET

P O BOX 99, VERDIGRE NE 68783

VERDIGRE (KNOX) - 68783

Sacred Heart Health Services d/b/a Avera Medical Group Verdigre

RHC-C

KYLE TACKE, ADMINISTRATOR

283466

(402) 668-2216 FAX: (402) 668-2310

SAUNDERS COUNTY HEALTH SERVICES

1760 COUNTY ROAD J

c/o: STACIE SABATKA 1760 COUNTY ROAD J, WAHOO NE 68066

WAHOO (SAUNDERS) - 68066

SAUNDERS MEDICAL CENTER - CLINIC

RHC-C

KENNETH ARCHER, ADMINISTRATOR

283990

(402) 443-4191 FAX: (402) 443-1433

Page 25: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 24 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

CHASE COUNTY COMMUNITY HOSPITAL

308 NORTH TECUMSEH STREET

WAUNETA (CHASE) - 69045

CHASE COUNTY CLINIC

RHC-C

LOLA JONES, ADMINISTRATOR

283489

(308) 394-5593 FAX:

OSMOND GENERAL HOSPITAL, INC.

100 N LINCOLN STREET

c/o: CELINE MLADY OSMOND GENERAL HOSPITAL, 402 N MAPLE STREET, OSMOND NE 68765

WAUSA (KNOX) - 68786

Wausa Medical Clinic

RHC-C

CELINE MLADY, ADMINISTRATOR

288534

(402) 586-2244 FAX:

COMMUNITY MEMORIAL HOSPITAL DISTRICT

204 NORTH RANDOLPH STREET

c/o: WEEPING WATER MEDICAL CENTER P O BOX 369, WEEPING WATER NE 68463

WEEPING WATER (CASS) - 68463

Community Memorial Hospital District d/b/a Weeping Water Medical Cent

RHC-C

MICHAEL HARVEY, ADMINISTRATOR

288503

(402) 267-5330 FAX:

FRANCISCAN CARE SERVICES, INC.

500 EAST DECATUR

c/o: ANASTASIA STOKELY 500 E DECATUR STREET, WEST POINT NE 68788

WEST POINT (CUMING) - 68788

FRANCISCAN CARE SERVICES, INC dba DINKLAGE MEDICAL CLINIC

RHC-C

JERRY WORDEKEMPER, ADMINISTRATOR

283482

(402) 372-2477 FAX:

CRETE AREA MEDICAL CENTER

203 WEST 4TH STREET

c/o: STEPHANIE HOLLMAN CRETE AREA MEDICAL CENTER, 2910 BETTEN DRIVE, CRETE NE 68333

WILBER (SALINE) - 68465

CRETE AREA MEDICAL CENTER DBA WILBER MEDICAL CLINIC

RHC-C

REBEKAH MUSSMAN, ADMINISTRATOR

283469

(402) 821-3293 FAX:

FRANCISCAN CARE SERVICES, INC.

2100 21ST CIRCLE SUITE A

c/o: WISNER FAMILY PRACTICE P O BOX 688, WISNER NE 68791

WISNER (CUMING) - 68791

FRANCISCAN CARE SERVICES, INC dba WISNER FAMILY PRACTICE

RHC-C

JERRY WORDEKEMPER, ADMINISTRATOR

283484

(402) 529-6516 FAX: (402) 529-6530

Page 26: RURAL HEALTH CLINIC - Nebraskadhhs.ne.gov/publichealth/Documents/RHC_Roster.pdfSTATE OF NEBRASKA ROSTER RURAL HEALTH CLINIC Department of Health and Human Services Division of Public

Name of Facility

Address

TOWN Zip Code

Phone Number

Administration

Fac TypeLicensee

(County)

Page 25 of 25RURAL HEALTH CLINIC ROSTER 5/15/2018By City

Provider ID

Updated:

COMMUNITY MEMORIAL HEALTHCARE, INC.

100 NORTH 7TH

c/o: JEAN STILLWELL COMMUNITY PHYSICIANS CLINIC, 1902 MAY STREET, MARYSVILLE KS 66508

WYMORE (GAGE) - 68466

COMMUNITY PHYSICIAN'S CLINIC

RHC-C

JEAN STILLWELL, ADMINISTRATOR

283426

(402) 645-3733 FAX:

BEATRICE COMMUNITY HOSPITAL AND HEALTH CENTER

116 EAST H STREET

WYMORE (GAGE) - 68466

WYMORE MEDICAL CLINIC

RHC-C

THOMAS SOMMERS, ADMINISTRATOR

283415

(402) 645-3310 FAX:

Total Facilities: 146