William Newton Memorial Hospital
Organization Active NPI Rural Health Clinic/Center · Winfield, KS
NPI 1003473554 · NPPES record last updated Apr 25, 2023
Key facts
- NPI
- 1003473554
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- WILLIAM NEWTON MEMORIAL HOSPITAL
- Practice address
- 1700 E 9TH Ave
Winfield, KS 67156-3220 - Phone
- (620) 221-0110
- Fax
- (620) 221-0623
- NPI assigned
- May 21, 2019
- Organization subpart
- Yes
- Parent organization (as reported)
- WILLIAM NEWTON MEMORIAL HOSPITAL
Authorized official
- Name
- Brian Barta
- Title
- Ceo
- Phone
- (620) 222-6204
Owners & managing parties with NPI records 7
Owned or controlled facilities with NPI records 5
Other NPIs on the same Medicare enrollment 8
Other NPIs with the same Medicare PAC ID 7
Corporate family (same tax ID) 9
Related certifications (CCN) 1
Facilities with the same owner 4
Practitioners 46
-
Alvin D. Bird, D.O.
-
Angela Rene Johnson, FNP-C
-
Jennifer Satterlee, APRN
-
Laura Michelle Thielen, FNP-BC
-
Jennifer Akins, PA
-
Ryan Samuel Beard, M.D.
-
Jody J Bieker, MD
-
Hannah Bingham, MD
-
Michelle Bloedel, CRNA
-
Patrick Russell Bloedel, M.D.
-
Erik Calderon, M.D.
-
Edward Theodore Duensing, NP-C
-
Hope Lee Guerrero, APRN, FNP
-
Lori Grim Harris, CRNA
-
Daniel J Hein, MD
-
Anna Christine Kill, APRN
-
Heidi Elaine Koschwanez, MD, PHD
-
Tyson A Lacy, CRNA
-
Thomas Lyman, DPM
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0451287 | William Newton Hillside Family Medicine | Provider-performed microscopy | Oct 16, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS
Rural health clinic certification: CCN 178639
- Legal name
- WILLIAM NEWTON MEMORIAL HOSPITAL
- Doing business as
- WILLIAM NEWTON HILLSIDE FAMILY MEDICINE
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Sep 10, 2021
- Last certification
- Sep 10, 2021
- Ownership / control type
- Non-profit – church related
- Organization structure
- Government · Non-profit
- Incorporated
- Dec 2, 2020 in KS
- Enrollment address
- 1700 E 9TH Ave
Winfield, KS 67156-3220 - Related CCNs
- 171383
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Brian James Barta |
Corporate Director |
Aug 1, 2018 | 100% |
| Operational/Managerial Control | Aug 1, 2018 | ||
| Joan Cales |
Corporate Officer | Aug 1, 2011 | |
| Steve McSpadden |
Corporate Officer | Sep 1, 2002 | |
| William Newton Memorial Hospital |
Operational/Managerial Control | Dec 2, 2020 | 100% |
| Diane Lawrence |
Corporate Officer | Jun 1, 2014 | |
| Harlene G Hoyt |
W-2 Managing Employee |
Oct 7, 1996 | |
| Jeffrey B Quinton |
Corporate Director |
Mar 18, 2013 | 100% |
| Brenda Butters |
Corporate Officer | Jun 1, 2011 |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Moline Community Rural Health Clinic |
Rural health clinic | Operational/Managerial Control Other (100%) |
Jul 21, 1995 Jul 21, 1995 |
| Tallgrass RHC |
Rural health clinic | Operational/Managerial Control (100%) | Jun 5, 1995 |
| Health Professionals of Winfield |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Jan 1, 2013 |
| Dexter Community Rural Health Clinic |
Rural health clinic | Operational/Managerial Control (100%) | Jan 3, 1996 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050302000638 | KS | Part B Supplier - Clinic/Group Practice | 5294648937 |
Receives reassigned benefits from 163 practitioners 8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Winfield, KS; Udall, KS |
| O20201228000610 | KS | Part a Provider - Rural Health Clinic | 5294648937 | Practice locations: Winfield, KS |
National Provider Directory
- Tax ID family
- Moline Community Rural
- Part of
- Moline Community Rural
Interoperability endpoints
- https://fhir-usa.unify.chbase.com/org/wnewton-396b17e2
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
1700 E 9TH Ave
Winfield, KS 67156-3220
Mailing address
1700 E 9TH Ave
Winfield, KS 67156-3220
Phone (620) 221-0110
Other names
- William Newton Hillside Family Medicine
Other providers in Winfield, KS
- Amanda Watson
- Jayne Ann Watters
- Treasure A Wehner
- Bruce W Wells
- Westside Clinic
- William Newton Memorial Hospital
- William Newton Memorial Hospital
- William Newton Memorial Hospital
- William Newton Memorial Hospital
- William Newton Memorial Hospital
All providers in Winfield, KS · Rural Health Clinic/Center in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.