NPIMap

Organization Active NPI

William Newton Memorial Hospital

Doing business as Health Professionals of Winfield

  • Rural Health Clinic/Center
  • Winfield, KS
National Provider Identifier
1003924762
Registry record updated Jan 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
820572445 Issued in KS
Legal business name
WILLIAM NEWTON MEMORIAL HOSPITAL
Doing business as
Health Professionals of Winfield
Practice address
1230 E 6TH Ave
Ste 1B
Winfield, KS 67156
Phone
(620) 221-4000
Fax
(620) 221-7121
NPI assigned
Aug 25, 2006
Last updated
Jan 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2019

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

Authorized official

Name
Brian Barta
Title
Chief Financial Officer
Phone
(620) 222-6204

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 820572445 KS Primary

Addresses

Primary practice location

1230 E 6TH Ave
Ste 1B
Winfield, KS 67156

Mailing address

1230 E 6TH Ave Ste 1B
Winfield, KS 67156-3144
Phone (620) 221-4000

Other identifiers 2

IdentifierTypeStateIssuer
DC5346OtherRR MEDICARE
17-8574OtherMEDICARE PTAN

Other names 1

  • Health Professionals of Winfield Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
O20130131000491 KS Part A Provider - Rural Health Clinic 5294648937 1 other NPI on this enrollment
Practice locations: Winfield, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1003924762. Details of each certification follow.

Rural health clinic certification: CCN 178574

Legal name
WILLIAM NEWTON MEMORIAL HOSPITAL
Doing business as
HEALTH PROFESSIONALS OF WINFIELD
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 1, 2013
Last certification
Nov 9, 2010
Ownership / control type
1A
Organization structure
OtherNon-profit
Enrollment address
1230 E 6TH Ave
Ste 1B
Winfield, KS 67156-3144
Related CCNs
171383

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

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
WM Newton Mem Hosp Lab10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

1302 E 5th Ave
#2W
Winfield, KS 67156
Phone (620) 221-4000

1611 Ritchie St
Winfield, KS 67156
Phone (620) 221-9290

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Brian James Barta Individual Corporate DirectorChief Financial Officer Aug 1, 2018 100%
Operational/Managerial ControlChief Financial Officer Aug 1, 2018
Gary Brewer Individual Corporate DirectorBoard Trustee Jun 16, 2022
Joan Cales Individual Corporate Officer Aug 1, 2011
Steve McSpadden Individual Corporate Officer Sep 1, 2002
William Newton Memorial Hospital Organization, Winfield, KS Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2013 100%
Diane Lawrence Individual Corporate OfficerBoard of Trustees Member Jun 1, 2014

Owners & managing parties with NPI records 7

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

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Moline Community Rural Health ClinicMoline, KS, CCN 173425 Rural health clinic Operational/Managerial Control
Other (100%)		 Jul 21, 1995
Jul 21, 1995
Tallgrass RHCSedan, KS, CCN 173423 Rural health clinic Operational/Managerial Control (100%) Jun 5, 1995
Dexter Community Rural Health ClinicDexter, KS, CCN 173433 Rural health clinic Operational/Managerial Control (100%) Jan 3, 1996
William Newton Hillside Family MedicineWinfield, KS, CCN 178639 Rural health clinic Operational/Managerial Control (100%) Dec 2, 2020

Owned or controlled facilities with NPI records 5

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1003924762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E 6TH AVE STE 1B",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "671563144",
            "telephone_number": "620-221-4000",
            "fax_number": "620-221-7121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 E 6TH AVE",
            "address_2": "STE 1B",
            "city": "WINFIELD",
            "state": "KS",
            "postal_code": "67156",
            "telephone_number": "620-221-4000",
            "fax_number": "620-221-7121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM NEWTON MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "BARTA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "620-222-6204"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KS",
            "license": "820572445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DC5346",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "17-8574",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Professionals of Winfield",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Health Professionals of Winfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winfield, KS

Sources for this page

Verify at the official NPI Registry.