NPIMap

Organization Active NPI

Comanche County Hospital

  • Critical Access Hospital
  • Coldwater, KS
National Provider Identifier
1003845652
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H017001 Issued in 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
Last updated
Oct 11, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

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

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003845652. Details of each certification follow.

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
OtherNon-profit
Enrollment address
202 S Frisco St
Coldwater, KS 67029-9101
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Comanche County HospitalCCN 171312 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Comanche County Hosp-Crna3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

202 S Frisco St
Coldwater, KS 67029
Phone (620) 528-2144

Ownership & related parties

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 DirectorBoard 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 DirectorBoard Member Jun 22, 2017
Timothy L Rietzke Individual Corporate DirectorBoard Member Mar 9, 2006
Kenneth David Webb Individual Corporate DirectorBoard Member Mar 15, 2022
Debra York Individual Corporate DirectorBoard Member Jul 19, 2012

Owners & managing parties with NPI records 2

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

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 HospitalColdwater, KS, CCN 17Z312 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 12

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1003845652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 65 BOX 8A",
            "address_2": "202 S FRISCO",
            "city": "COLDWATER",
            "state": "KS",
            "postal_code": "670299500",
            "telephone_number": "620-582-2144",
            "fax_number": "620-582-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 65 BOX 8A",
            "address_2": "202 S FRISCO",
            "city": "COLDWATER",
            "state": "KS",
            "postal_code": "670299500",
            "telephone_number": "620-582-2144",
            "fax_number": "620-582-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMANCHE COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "620-582-2144",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H017001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, KS

Sources for this page

Verify at the official NPI Registry.