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Comanche County Hospital

Organization Active NPI Critical Access Hospital · Coldwater, KS

NPI 1003845652 · NPPES record last updated Oct 11, 2007

Key facts

NPI
1003845652
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
H017001 (KS)
Legal business name
COMANCHE COUNTY HOSPITAL
Practice address
HC 65 Box 8a
202 S Frisco
Coldwater, KS 67029-9500
Phone
(620) 582-2144
Fax
(620) 582-2572
NPI assigned
Jul 3, 2006
Organization subpart
No

Authorized official

Name
Mrs. Lisa A Brooks
Title
Business Office Manager
Phone
(620) 582-2144

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 12

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Medicare Care Compare: Hospital

Listed as
Comanche County Hospital CCN 171312
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Hospital certification: CCN 171312

Legal name
COMANCHE COUNTY HOSPITAL
Doing business as
COMANCHE COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 20, 1996
Last certification
Apr 20, 2016
Beds
14 (12 certified)
Ownership / control type
Local
Organization structure
Other · Non-profit
Enrollment address
202 S Frisco St
Coldwater, KS 67029-9101
Other Hospital Practice Location

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lisa a Brooks
Individual 		W-2 Managing Employee Jan 1, 1997
Steven J Prusa
Individual 		Corporate Director
Board Member		 Jun 1, 2021
Comanche County Hospital
Organization · Coldwater, KS 		5% Or Greater Direct Ownership Interest Jul 1, 1966 100%
Joseph E Murphy
Individual 		Corporate Director
Board Member		 Jun 22, 2017
Timothy L Rietzke
Individual 		Corporate Director
Board Member		 Mar 9, 2006
Kenneth David Webb
Individual 		Corporate Director
Board Member		 Mar 15, 2022
Debra York
Individual 		Corporate Director
Board Member		 Jul 19, 2012

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Comanche County Hospital
Coldwater, KS · CCN 17Z312		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20061104000668 KS Part a Provider - Critical Access Hospital 5395791008 Receives reassigned benefits from 9 practitioners
Practice locations: Coldwater, KS

National Provider Directory

Tax ID family
Comanche County Hospita (3 organizations share this tax ID)

Locations

202 S Frisco St
#65
Coldwater, KS 67029
Phone (620) 582-2144

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H017001 KS Yes

Addresses

Primary practice location

HC 65 Box 8a
202 S Frisco
Coldwater, KS 67029-9500

Mailing address

HC 65 Box 8a
202 S Frisco
Coldwater, KS 67029-9500
Phone (620) 582-2144

Other providers in Coldwater, KS

All providers in Coldwater, KS · Critical Access Hospital in Kansas

Sources for this page

Verify at the official NPI Registry.