HEALTH CLINICS

STATE OF NEBRASKA ROSTER

HEALTH CLINICS

Department of Health and Human Services Division of Public Health, Licensure Unit Nebraska State Office Building 301 Centennial Mall South PO Box 94669 Lincoln, NE 68509-4669

Health Clinic licenses expire February 28th each year

NEBRASKA HEALTH CLINICS

Ambulatory Surgical Centers-Licensure Only Ambulatory Surgical Centers-Medicare Certified Health Clinics/Public Health Clinics Hemodialysis Facilities

TOTAL HEALTH CLINICS

Total Licensed Facilities

3 48 28 39 118

LEGEND

ASC-M ---------ASC-L ----------AAAHC ---------ESRD-18 ------TJC -------------HC ---------------PHC --------------

Ambulatory Surgical Center - Medicare Certified Ambulatory Surgical Center - Licensure Only Accreditation Association for Ambulatory Health Care End Stage Renal Dialysis - Medicare Certified The Joint Commission Health Clinic - Licensure Only Public Health Clinic

Please contact the Licensure Unit or the provider to determine current Medicare status Updated: 6/14/2022

HEALTH CLINIC FACILITY ROSTER

Updated: 6/14/2022

By City

Page 2 of 25

TOWN (County) Name of Facility Address Phone Number Licensee Administration

Zip Code

Fac Type License No Accreditation

Services

ALLIANCE (BOX BUTTE) - 69301 BOX BUTTE DIALYSIS UNIT P O BOX 810, 2101 BOX BUTTE AVENUE

ESRD-18 ESRD024 NONE

HEMODIALYSIS

(308) 762-6660 FAX: (308) 762-1923 BOX BUTTE GENERAL HOSPITAL LORI MAZANEC, ADMINISTRATOR

c/o: BOX BUTTE DIALYSIS UNIT - LORI MAZANEC PO BOX 810, 2101 BOX BUTTE AVENUE, ALLIANCE NE 69301

BEATRICE (GAGE) - 68310 Beatrice Dialysis 5200 HOSPITAL PKWY

ESRD-18 ESRD064 NONE

(402) 223-7848 FAX: (402) 228-1760 RENAL TREATMENT CENTERS-ILLINOIS, INC AMANDA BOKELMAN

c/o: LATOVIA DAVIS DAVITA INC, 5200 VIRGINIA WAY - L & C DEPT, BRENTWOOD TN 37027

HEMODIALYSIS

BELLEVUE (SARPY) - 68005 Bellevue Health Center 1002 WEST MISSION AVE

HC HC001 NONE

(402) 292-4164 FAX: (402) 291-4643 LEROY H. CARHART, M.D. ASHLEY EDWARDS, ADMINISTRATOR

c/o: BELLEVUE HEALTH CENTER 1002 W MISSION AVENUE, BELLEVUE NE 68005

BELLEVUE (SARPY) - 68005 Cornhusker Dialysis 505 CORNHUSKER RD, SUITE 107

ESRD-18 ESRD058 NONE

(402) 292-2813 FAX: (402) 292-2823 DVA RENAL HEALTHCARE, INC. MARCY CLAUSEN

c/o: LATOVIA DAVIS DAVITA, INC, 5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD TN 37027

HEMODIALYSIS

BELLEVUE (SARPY) - 68123 DIALYSIS CLINIC, INC 4112 TWIN CREEK DRIVE

ESRD-18 ESRD041 NONE

(402) 934-9560 FAX: (402) 934-9606 DIALYSIS CLINIC, INC TERRY DALTON

c/o: KRIS BARNUM DIALYSIS CLINIC, INC, 7070 SPRING STREET, OMAHA NE 68106

HEMODIALYSIS

HEALTH CLINIC FACILITY ROSTER

Updated: 6/14/2022

By City

Page 3 of 25

TOWN (County) Name of Facility Address Phone Number Licensee Administration

Zip Code

Fac Type License No Accreditation

Services

BELLEVUE (SARPY) - 68005 HEARTLAND CATARACT & LASER SURGERY CENTER 1103 GALVIN ROAD SOUTH

ASC-M ASC079 NONE

AMBULATORY SURGERY

(402) 292-6514 FAX: (402) 292-7122 HEARTLAND CATARACT & LASER SURGERY CENTER RICHARD MAW, ADMINISTRATOR

c/o: HEARTLAND CATARACT & LASER SURGERY CENTER, INC 1103 GALVIN RD SOUTH, BELLEVUE NE 68005

BELLEVUE (SARPY) - 68123 Total Sleep Center 2510 BELLEVUE MEDICAL CENTER DRIVE, STE 170

HC HC065 NONE

(402) 991-7832 FAX: (402) 991-7981 TOTAL SLEEP CENTER BARB SCHULZ, ADMINISTRATOR

c/o: TOTAL SLEEP CENTER 6414 S 118TH CIRCLE, OMAHA NE 68137

CHADRON (DAWES) - 69337 Chadron Community Hospital Corp dba CHADRON COMMUNITY H 825 CENTENNIAL DRIVE

ESRD-18 ESRD052 NONE

(308) 432-5586 FAX: (308) 432-0441 CHADRON COMMUNITY HOSPITAL CORP. NATHAN HOUGH

c/o: CHADRON COMMUNITY HOSPITAL CORP 825 CENTENNIAL DRIVE, CHADRON NE 69337

HEMODIALYSIS

CHADRON (DAWES) - 69337 WCHR - FAMILY REPRODUCTIVE HEALTH SERVICES 300 SHELTON STREET

PHC HC068 NONE

PUBLIC HEALTH CLINIC

(308) 432-8979 FAX: (308) 432-8974 CHADRON COMMUNITY HOSPITAL CORP. NATHAN HOUGH, ADMINISTRATOR

c/o: SANDY MONTAGUE-ROES, DIRECTOR WESTERN COMMUNITY HEALTH RESOURCES, 300 SHELTON STREET, CHADRON NE 69337 BRANCH/EXTENSION/OFFSITE: 619 BOX BUTTE AVENUE - ALLIANCE BRANCH/EXTENSION/OFFSITE: 11 PADDOCK - CRAWFORD BRANCH/EXTENSION/OFFSITE: 229 NORTH MAIN STREET - GORDON

COLUMBUS (PLATTE) - 68601 DIALYSIS CENTER OF LINCOLN, INC DBA DIALYSIS CENTER O 2452 39TH AVENUE

ESRD-18 ESRD020 NONE

(402) 563-2139 FAX: (402) 563-9145 DIALYSIS CENTER OF LINCOLN, INC SCOTT BUTTERFIELD

c/o: SCOTT BUTTERFIELD - CEO/ADMINISTRATOR 7910 O STREET, LINCOLN NE 68510

HEMODIALYSIS

HEALTH CLINIC FACILITY ROSTER

Updated: 6/14/2022

By City

TOWN (County) Name of Facility Address Phone Number Licensee Administration

Zip Code

Fac Type License No Accreditation

FREMONT (DODGE) - 68025 DODGE COUNTY DIALYSIS 1949 EAST 23RD AVENUE S

ESRD-18 ESRD050 NONE

(402) 721-7005 FAX: (402) 721-7480 DVA RENAL HEALTHCARE, INC. CINDY CLAUSEN, ADMINISTRATOR

c/o: LATOVIA DAVIS DAVITA, INC, 5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD TN 37027

FREMONT (DODGE) - 68025 R Choice Surgical Center, Llc 2900 ELK LANE, SUITE 2

(402) 721-8895 FAX: (402) 721-6651 R CHOICE SURGICAL CENTER LLC SOFIJA NOVAKOVIC, ADMINISTRATOR

ASC-M ASC072 NONE

Page 4 of 25 Services

HEMODIALYSIS

AMBULATORY SURGERY

FREMONT (DODGE) - 68025 SURGERY CENTER OF FREMONT, LLC 2727 NORTH CLARKSON STREET

(402) 727-8500 FAX: (402) 721-1065 SURGERY CENTER OF FREMONT, LLC TONYA HEMMER, ADMINISTRATOR

ASC-M ASC007 NONE

AMBULATORY SURGERY

FREMONT (DODGE) - 68025 Three Rivers District Health Department 2400 NORTH LINCOLN AVE

PHC HC061

PUBLIC HEALTH CLINIC

(402) 727-5396 FAX: (402) 317-5187 THREE RIVERS PUBLIC HEALTH DEPARTMENT TERRA UHING, ADMINISTRATOR

c/o: THREE RIVERS PUBLIC HEALTH DEPARTMENT 2400 N LINCOLN AVENUE, FREMONT NE 68025

GERING (SCOTTS BLUFF) - 69341 Community Action Partnership of Western Nebraska 975 CRESCENT DRIVE

PHC HC023 NONE

(308) 632-2540 FAX: (308) 633-2650 COMMUNITY ACTION PARTNERSHIP OF WESTERN NEBRASKA MARGO HARTMAN, CEO

c/o: MARGO HARTMAN , 3350 10TH STREET, GERING NE 69341 BRANCH/EXTENSION/OFFSITE: 221 CHADRON AVENUE - CHADRON

PUBLIC HEALTH CLINIC

HEALTH CLINIC FACILITY ROSTER

Updated: 6/14/2022

By City

Page 5 of 25

TOWN (County) Name of Facility Address Phone Number Licensee Administration

Zip Code

Fac Type License No Accreditation

Services

GRAND ISLAND (HALL) - 68801 CENTRAL HEALTH CENTER DBA CHOICE FAMILY HEALTH CAR 217 EAST STOLLEY PARK ROAD, SUITE E

PHC HC054 NONE

(308) 384-7625 FAX: (308) 384-8904 CHOICE FAMILY HEALTH CARE, INC. RYAN KING, ADMINISTRATOR

c/o: CHOICE FAMILY HEALTH CARE 217 E STOLLEY PARK RD., STE E, GRAND ISLAND NE 68801 BRANCH/EXTENSION/OFFSITE: 4503 2ND AVE, STE 209 - KEARNEY

PUBLIC HEALTH CLINIC

GRAND ISLAND (HALL) - 68801 GRAND ISLAND DIALYSIS 203 EAST STOLLEY PARK ROAD, SUITE G

ESRD-18 ESRD057 NONE

(308) 384-4067 FAX: (308) 382-0461 RENAL TREATMENT CENTERS-ILLINOIS, INC JANUARY STARMAN

c/o: LATOVIA DAVIS DAVITA INC, 5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD TN 37027

HEMODIALYSIS HOME HEMODIALYSIS

GRAND ISLAND (HALL) - 68802 GRAND ISLAND SURGERY CENTER, LLC P O BOX 5434, 3610 RICHMOND CIRCLE

ASC-M ASC008 NONE

(308) 384-6400 FAX: (308) 389-6920 GRAND ISLAND SURGICAL CENTER, LLC KEN TERRY, ADMINISTRATOR

c/o: GRAND ISLAND SURGICAL CENTER P O BOX 5434, GRAND ISLAND NE 68802

AMBULATORY SURGERY

GRAND ISLAND (HALL) - 68803 KIDNEY DIALYSIS CENTER OF GRAND ISLAND 3516 RICHMOND CIRCLE

ESRD-18 ESRD047 NONE

HEMODIALYSIS

(308) 384-9600 FAX: (308) 384-9601 RCG GRAND ISLAND, LLC MELISSA STEGMAN

c/o: KIDNEY DIALYSIS OF GRAND ISLAND - MELISSA STEGMAN 3516 RICHMOND CIRCLE, GRAND ISLAND NE 68803

HASTINGS (ADAMS) - 68901 HASTINGS DIALYSIS CENTER 1900 NORTH ST. JOSEPH AVENUE

ESRD-18 ESRD002 NONE

(402) 463-4893 FAX: (402) 463-7049 RENAL TREATMENT CENTERS-ILLINOIS, INC JANUARY STARMAN, ADMINISTRATOR

c/o: LATOVIA DAVIS DAVITA INC, 5200 VIRGINIA WAY, L & C DEPT, BRENTWOOD TN 37027

HEMODIALYSIS

HEALTH CLINIC FACILITY ROSTER

Updated: 6/14/2022

By City

Page 6 of 25

TOWN (County) Name of Facility Address Phone Number Licensee Administration

Zip Code

Fac Type License No Accreditation

Services

HASTINGS (ADAMS) - 68901 HASTINGS FAMILY PLANNING DBA Community Health Center 606 NORTH MINNESOTA AVE, SUITE #1

PHC HC072 NONE

PUBLIC HEALTH CLINIC

(402) 461-5265 FAX: (402) 461-5270 THE MARY LANNING MEMORIAL HOSPITAL ASSOCIATION DAVID LONG, ADMINISTRATOR

c/o: COMMUNITY HEALTH CENTER C/O DAVID LONG 715 NORTH ST JOSEPH AVENUE, HASTINGS NE 68901

HASTINGS (ADAMS) - 68901 HASTINGS LASER & EYE SURGERY CENTER, LLC 715 NORTH KANSAS AVE, SUITE 303

(402) 462-5888 FAX: (402) 462-6874 HASTINGS LASER & EYE SURGERY CENTER, LLC DENISE KRUEGER, ADMINISTRATOR

ASC-M ASC009 NONE

AMBULATORY SURGERY

HASTINGS (ADAMS) - 68901 Hastings Surgical Center, Llc 5803 OSBORNE DR WEST

(402) 462-5440 FAX: (402) 462-5444 HASTINGS SURGICAL CENTER LLC PAMELA GUERRERO, ADMINISTRATOR

ASC-M ASC043 NONE

AMBULATORY SURGERY

KEARNEY (BUFFALO) - 68845 Kearney Ambulatory Surgical Center, LLC dba HEARTLAND SURG 3515 30TH AVENUE

ASC-M ASC030 AAAHC

AMBULATORY SURGERY

(308) 865-2670 FAX: (308) 865-2876 KEARNEY AMBULATORY SURGICAL CENTER, LLC TRACY HOEFT-HOFFMAN, ADMINISTRATOR

c/o: TRACY HOEFT-HOFFMAN HEARTLAND SURGERY CENTER, 3515 30TH AVENUE, KEARNEY NE 68845

KEARNEY (BUFFALO) - 68845 Kearney Eye Surgical Center Inc 411 W 39TH STREET, SUITE 2

ASC-M ASC051 NONE

(308) 865-2759 FAX: (308) 865-2755 KEARNEY EYE SURGICAL CENTER INC MARLYS KOSSMAN, ADMINISTRATOR

c/o: KEARNEY EYE SURGICAL CENTER, INC 411 WEST 39TH ST., SUITE 2, KEARNEY NE 68845

AMBULATORY SURGERY

HEALTH CLINIC FACILITY ROSTER

Updated: 6/14/2022

By City

Page 7 of 25

TOWN (County) Name of Facility Address Phone Number Licensee Administration

Zip Code

Fac Type License No Accreditation

Services

KEARNEY (BUFFALO) - 68847 Kearney Pain Treatment Center Llc 920 EAST 56TH STREET, SUITE D

ASC-M ASC069 NONE

AMBULATORY SURGERY

(308) 455-3091 FAX: (308) 455-3093 KEARNEY PAIN TREATMENT CENTER, LLC GARRETT VETTER, ADMINISTRATOR

c/o: KEARNEY PAIN TREATMENT CENTER, LLC 920 E. 56TH STREET, SUITE D, KEARNEY NE 68847

KEARNEY (BUFFALO) - 68845 Lindustries LLC dba Seventh Avenue Surgery Center 4107 7TH AVENUE

ASC-M ASC083 AAAHC

AMBULATORY SURGERY

(308) 708-7747 FAX: (308) 708-7748 LINDUSTRIES LLC CAMMIE GOLIGHTLY, ADMINISTRATOR

c/o: LINDUSTRIES, LLC DBA SEVENTH AVENUE SURGERY CENTER 4107 7TH AVENUE, KEARNEY NE 68845

KEARNEY (BUFFALO) - 68847 OVERLAND TRAILS RENAL CARE GROUP LLC 5210 PARKLANE DRIVE

(308) 233-5011 FAX: (308) 233-2017 OVERLAND TRAILS RENAL CARE GROUP, LLC KARIN MOSES

ESRD-18 ESRD038

HEMODIALYSIS HOME HEMODIALYSIS

LINCOLN (LANCASTER) - 68506 Advanced Medical Imaging Surgery Center, LLC 7555 PIONEERS BLVD

ASC-M ASC084 AAAHC

AMBULATORY SURGERY

(402) 261-1085 FAX: (402) 284-4588 ADVANCED MEDICAL IMAGING SURGERY CENTER LLC KARISSA MERCURIO, ADMINISTRATOR

c/o: KARISSA MERCURIO ADVANCED MEDICAL IMAGING SURGERY CENTER, 7555 PIONEERS BLVD, LINCOLN NE 68506

LINCOLN (LANCASTER) - 68510 Alegent Creighton Clinic dba CHI Health Birth Center 8020 O STREET

(402) 488-6370 FAX: (402) 488-4393

HC/L&D HC087

KIMBERLY PERRIN, ADMINISTRATOR CHI HEALTH BIRTH CENTER, 8020 O STREET, LINCOLN NE 68510

LABOR AND DELIVERY SERVIC

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