CHI HEALTH GOOD SAMARITAN
NPI 1023033776
Skilled Nursing Facility in Kearney, NE
NPI Status: Active since July 13, 2006
Contact Information
10 E 31ST ST
KEARNEY, NE
ZIP 68847
Phone: (308) 865-7900
Fax: (308) 865-2913
- Organization
- Skilled Nursing Facility
- CLIA Number: 28D2055297
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-19-2027
About CHI HEALTH GOOD SAMARITAN
This page provides the complete NPI Profile along with additional information for Chi Health Good Samaritan, a provider established in Kearney, Nebraska operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1023033776 assigned on July 2006. The practitioner's primary taxonomy code is 314000000X with license number LTCH018 (NE). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Chi Health Good Samaritan. The authorized official of this NPI record is Evert Kuiper (Ceo - Chi Health)
- NPI
- 1023033776
- Provider Legal Name
- GOOD SAMARITAN HOSPITAL
- Other Organization Name
- CHI HEALTH GOOD SAMARITAN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 10 E 31ST ST KEARNEY, NE 68847
- Location Phone
- (308) 865-7900
- Location Fax
- (308) 865-2913
- Mailing Address
- 10 E 31ST ST P.O. BOX 1990 KEARNEY, NE 68847
- Mailing Phone
- (308) 865-7900
- Mailing Fax
- (308) 865-2913
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-13-2006
- Last Update Date
- 02-10-2022
- Code Navigator
According to the Inpatient Rehabilitation Facility (IRF) Compare program data this facility is non-profit and was certified on 07-01-2019 This facility might have treated people with Medicare who had these medical conditions during the last year: all other conditions, brain disease or condition (non-traumatic), brain injury (traumatic), hip or femur fracture, hip or knee replacement, amputation or other bone or joint condition, nervous system disorder (excluding stroke), spinal cord disease or condition (non-traumatic), spinal cord injury (traumatic) and stroke
Location Map
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
Skilled Nursing Facility
- Taxonomy Code
- 314000000X
- Type
- Nursing & Custodial Care Facilities
- License No.
- LTCH018
- License State
- NE
- Taxonomy Description
- (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
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.
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 |
|---|---|---|---|
| 249 | OTHER (01) | BLUE CROSS |
Inpatient Rehabilitation Information
The Centers for Medicare and Medicaid Services Inpatient Rehabilitation Facility (IRF) data provides information on the quality of care that rehabilitation facilities are providing to their patients. This information can help consumers make informed decisions about health care.
- CHI HEALTH GOOD SAMARITAN has an ownership type of Non-profit
- The facility received it's medicare certification date on 07-01-2019
| Medical Condition | Times Conditions Treated |
|---|---|
| All other conditions | 45 |
| Brain disease or condition (non-traumatic) | 19 |
| Brain injury (traumatic) | 22 |
| Hip or femur fracture | Less than 11 - The number of cases/patient stays is too small to report. |
| Hip or knee replacement, amputation or other bone or joint condition | 25 |
| Nervous system disorder (excluding stroke) | Less than 11 - The number of cases/patient stays is too small to report. |
| Spinal cord disease or condition (non-traumatic) | 28 |
| Spinal cord injury (traumatic) | Less than 11 - The number of cases/patient stays is too small to report. |
| Stroke | 41 |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 28D2055297
- Facility Type
- Physician Office
- Certificate Effective Date
- February 20, 2025
- Certificate Expiration Date
- February 19, 2027
- Laboratory Director
- DR. ABHISEKH SINHA RAY
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Chi Health Good Samaritan in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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. | |||||||||
| 1 | 0 | 2 | 3 | 0 | 3 | 3 | 7 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 4 | 3 | 0 | 3 | 6 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 4 + 3 + 0 + 3 + 6 + 7 + 1 + 4 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1023033776 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306835376 | DR. DEBRA J HANSEN PHARMD, R.P. Individual | Pharmacist | 10 E 31ST ST KEARNEY, NE 68847 (308) 854-7022 |
| 1164400776 | DANIEL L FUERST MD Individual | Radiology (Diagnostic Radiology) | 10 E 31ST ST KEARNEY, NE 68847 (308) 234-5520 |
| 1902884513 | RICHARD S JERDE MD Individual | Radiology (Diagnostic Radiology) | 10 E 31ST ST KEARNEY, NE 68847 (308) 234-5520 |
| 1326026964 | ROBERT L HEYD MD Individual | Radiology (Diagnostic Radiology) | 10 E 31ST ST KEARNEY, NE 68847 (308) 234-5520 |
| 1396847802 | DR. WILLIAM MARCO A. SULEIMAN M.D. Individual | Physical Medicine & Rehabilitation | 10 E 31ST ST KEARNEY, NE 68847 (308) 865-7474 |
| 1922188234 | ROGER D ALBIN MD Individual | Emergency Medicine | 10 E 31ST ST KEARNEY, NE 68847 (308) 865-7100 |
| 1568543809 | STEVEN D SCHULZ MD Individual | Emergency Medicine | 10 E 31ST ST KEARNEY, NE 68847 (308) 865-7100 |
| 1588748305 | CYNTHIA MEHLIN PA Individual | Physician Assistant | 10 E 31ST ST KEARNEY, NE 68847 (308) 865-7100 |
| 1831255637 | MRS. KRISTINE MARIE WALAHOSKI RD, LMNT Individual | Dietitian, Registered | 10 E 31ST ST KEARNEY, NE 68847 (308) 865-2640 |
| 1316062185 | MRS. PEGGY ANN JOHNSTON R.D. Individual | Dietitian, Registered | 10 E 31ST ST KEARNEY, NE 68847 (308) 865-2640 |
| 1992915326 | MRS. MARILYN ANN KILE APRN, AOCN Individual | Nurse Practitioner (Adult Health) | 10 E 31ST ST KEARNEY, NE 68847 (308) 865-7986 |
| 1326249996 | MRS. SHIRLEY ANN CHAVANU APRN Individual | Nurse Practitioner (Adult Health) | 10 E 31ST ST CANCER CENTER KEARNEY, NE 68847 (308) 865-7199 |
| 1639353634 | WILLIAM M SULEIMAN MD PC Organization | Physical Medicine & Rehabilitation | 10 E 31ST ST 3RD FLOOR KEARNEY, NE 68847 (308) 865-7474 |
| 1093961898 | MRS. JACQUELINE D LIESS APRN (NNP-BC) Individual | Nurse Practitioner (Neonatal, Critical Care) | 10 E 31ST ST KEARNEY, NE 68847 (308) 865-7139 |
| 1326296807 | DR. JESSE PANDORF JESSE PANDORF M.D. Individual | Anesthesiology | 10 E 31ST ST KEARNEY, NE 68847 (308) 865-7100 |
| 1700164886 | MRS. MARCIA ANN LEONARD APRN Individual | Nurse Practitioner (Family) | 10 E 31ST ST KEARNEY, NE 68847 (308) 865-7890 |
| 1750621520 | TESSA M WELLS PT, DPT Individual | Physical Therapist | 10 E 31ST ST SUITE 104 KEARNEY, NE 68847 (308) 865-7182 |
| 1639100951 | GOOD SAMARITAN OUTREACH SERVICES Organization | Family Medicine | 10 E 31ST ST KEARNEY, NE 68847 (308) 865-7100 |
| 1205277183 | JOSEPH IRA RADKE MSN, NP-C Individual | Nurse Practitioner (Family) | 10 E 31ST ST KEARNEY, NE 68847 (308) 865-2690 |
| 1639146178 | MARK D MOWRY D.O. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 10 E 31ST ST KEARNEY, NE 68847 (308) 647-6444 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023033776, enumerated in the NPI registry as an "organization" on July 13, 2006
The provider is located at 10 E 31st St Kearney, Ne 68847 and the phone number is (308) 865-7900
This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 28D2055297 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on July 13, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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