No
ST FRANCIS MEMORIAL HOSPITAL
430 N MONITOR ST
WEST POINT, NE 68788-1595
CAH281322-01 | Child | CAH | FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE | FRANCISCAN HEALTHCARE WEST POINT CLINIC | 500 EAST DECATUR | WEST POINT | NE | Active |
CAH281322-02 | Child | CAH | FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE | FRANCISCAN HEALTHCARE HOWELLS CLINIC | 119 S 3RD STREET | HOWELLS | NE | Active |
CAH281322-03 | Child | CAH | FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE | FRANCISCAN HEALTHCARE WISNER CLINIC | 2100 21ST CIRCLE | WISNER | NE | Active |
CAH281322-04 | Child | CAH | FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE | OAKLAND FAMILY PRACTICE | 100 WEST 9TH STREET | OAKLAND | NE | Terminated |
CAH281322-05 | Child | CAH | FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE | FRANCISCAN HEALTHCARE SCRIBNER CLINIC | 429 MAIN STREET | SCRIBNER | NE | Active |
CAH281322-06 | Child | CAH | ST. FRANCIS MEMORIAL HOSPITAL | FRANCISCAN CARE SERVICES INC - HOOPER MEDICAL CLINIC | 600 E FULTON ST STE A | HOOPER | NE | Terminated |
CAH281322-07 | Child | CAH | FRANCISCAN CARE SERVICES INC DBA FRANCISCAN HEALTHCARE | Franciscan Healthcare Oakland Clinic - Family Practice | 211 N Engdahl Ave | Oakland | NE | Active |
Details | State | Update | | To Be Terminated | Terminated | 1/1/2020 12:05 AM |
Dates | Last Date That 340B Drugs Purchased | Update | Termination Request | | 11/20/2019 12:00:00 AM | 12/4/2019 3:41 PM |
Details | State | Update | Termination Request | Active | To Be Terminated | 12/4/2019 3:41 PM |
Terminations | Termination Date | Update | Termination Request | | 1/1/2020 12:00:00 AM | 12/4/2019 3:41 PM |
Terminations | Termination Effective Date | Update | Termination Request | | 11/20/2019 12:00:00 AM | 12/4/2019 3:41 PM |
Terminations | Termination Reason | Update | Termination Request | | Site closure | 12/4/2019 3:41 PM |
Details | Last Recertification Date | Update | Recertification | 8/17/2018 1:04:50 PM | 8/22/2019 2:52:02 PM | 8/22/2019 2:52 PM |
Contacts | Authorizing Official | Update | Change Request | Wordekemper, Jerry
CEO/PRESIDENT
St. Francis Memorial Hospital
4023722404-2101 | Brunsing, Alisa Ann
CFO
St. Francis Memorial Hospital
4023726717 | 7/11/2019 8:05 AM |
Details | Last Recertification Date | Update | Recertification | 11/20/2017 11:34:43 AM | 8/17/2018 1:04:50 PM | 8/17/2018 1:04 PM |
Contacts | Primary Contact | Insert | Recertification | | EINFALT, MICHELLE
PHARMACY DIRECTOR
St. Francis Memorial Hospital
4023726730 | 11/20/2017 11:34 AM |
Details | Last Recertification Date | Update | Recertification | | 11/20/2017 11:34:43 AM | 11/20/2017 11:34 AM |
Contacts | Authorizing Official | Update | | Wordekemper, Jerry
CEO/PRESIDENT
4023722404-2101 | Wordekemper, Jerry
CEO/PRESIDENT
St. Francis Memorial Hospital
4023722404-2101 | 10/14/2017 8:44 AM |
Contacts | Signed By | Update | | Wordekemper, Jerry
CEO/PRESIDENT
4023722404-2101 | Wordekemper, Jerry
CEO/PRESIDENT
St. Francis Memorial Hospital
4023722404-2101 | 10/14/2017 8:44 AM |
Contacts | Authorizing Official | Insert | | | Wordekemper, Jerry
CEO/PRESIDENT
4023722404-2101 | 2/16/2017 4:43 PM |
Contacts | Signed By | Insert | | | Wordekemper, Jerry
CEO/PRESIDENT
4023722404-2101 | 2/16/2017 4:43 PM |
Addresses | Main Address | Insert | | |
600 E FULTON ST STE A
HOOPER MEDICAL CLINIC
HOOPER, NE 68031-3074 | 2/16/2017 4:43 PM |
Addresses | Billing Address | Insert | | | DINKLAGE MEDICAL CLINIC
500 E DECATUR ST
WEST POINT, NE 68788-1566 | 2/16/2017 4:43 PM |
Addresses | Shipping Address | Insert | | | ST FRANCIS MEMORIAL HOSPITAL
430 N MONITOR ST
WEST POINT, NE 68788-1595 | 2/16/2017 4:43 PM |
Dates | Participating Approval Date | Update | | | 2/16/2017 12:00:00 AM | 2/16/2017 4:43 PM |
Details | State | Update | | Pending | Active | 2/16/2017 4:43 PM |
Dates | Start Date | Update | | | 4/1/2017 12:00:00 AM | 2/16/2017 4:43 PM |
Details | 340B ID | Update | | OUTPATIENT_ONLINE_REG_74309 | CAH281322-06 | 2/1/2017 2:40 PM |
Details | Entity Subname | Update | | FRANCISCAN CARE SERVICES INC | FRANCISCAN CARE SERVICES INC - HOOPER MEDICAL CLINIC | 2/1/2017 2:40 PM |
Details | 340B ID | Update | | | OUTPATIENT_ONLINE_REG_74309 | 1/10/2017 11:59 AM |
Details | Last Recertification Date | Insert | | | | 1/10/2017 11:59 AM |
Details | Grant Number | Insert | | | | 1/10/2017 11:59 AM |
Details | 340B ID | Insert | | | | 1/10/2017 11:59 AM |
Details | Is Authorizing Official EHB Data | Insert | | | | 1/10/2017 11:59 AM |
Dates | Last Date That 340B Drugs Purchased | Insert | | | | 1/10/2017 11:59 AM |
Details | Medicare Provider Number | Insert | | | 281322 | 1/10/2017 11:59 AM |
Details | Entity Name | Insert | | | ST. FRANCIS MEMORIAL HOSPITAL | 1/10/2017 11:59 AM |
Details | Program Code | Insert | | | CAH | 1/10/2017 11:59 AM |
Details | Entity Subname | Insert | | | FRANCISCAN CARE SERVICES INC | 1/10/2017 11:59 AM |
Dates | Participating Approval Date | Insert | | | | 1/10/2017 11:59 AM |
Details | State | Insert | | | Pending | 1/10/2017 11:59 AM |
Dates | Registration Date | Insert | | | 1/10/2017 12:00:00 AM | 1/10/2017 11:59 AM |
Dates | Signed By Date | Insert | | | 1/10/2017 12:00:00 AM | 1/10/2017 11:59 AM |
Dates | Start Date | Insert | | | | 1/10/2017 11:59 AM |
Terminations | Termination Comments | Insert | | | | 1/10/2017 11:59 AM |
Terminations | Termination Date | Insert | | | | 1/10/2017 11:59 AM |
Terminations | Termination Effective Date | Insert | | | | 1/10/2017 11:59 AM |
Terminations | Termination Reason | Insert | | | | 1/10/2017 11:59 AM |