NPIMap

Organization Active NPI

Stanton County Hospital

  • Critical Access Hospital
  • Johnson, KS
National Provider Identifier
1003964677
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H094001 Issued in KS
Legal business name
STANTON COUNTY HOSPITAL
Practice address
404 N. Chestnut St.
Johnson, KS 67855-0779
Phone
(620) 492-6250
Fax
(620) 492-1447
NPI assigned
Jan 8, 2007
Last updated
Mar 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Camille Davidson
Title
Ceo
Phone
(620) 492-6250

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H094001 KS Primary
Certified Registered Nurse Anesthetist 367500000X H094001 KS

Addresses

Primary practice location

404 N. Chestnut St.
Johnson, KS 67855-0779

Mailing address

PO Box 779
404 N. Chestnut St.
Johnson, KS 67855-0779
Phone (620) 492-6250

Other identifiers 2

IdentifierTypeStateIssuer
016858OtherKSBCBS PROFESSIONAL
100099050AOtherKSMEDICAID, PROFESSIONAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040928001306 KS Part B Supplier - Clinic/Group Practice 7315939915 Receives reassigned benefits from 11 practitioners
2 other NPIs on this enrollment
Practice locations: Johnson, KS

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/stanton-86bf40ec

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Stanton County HospitalJohnson, KS, CCN 17Z343 Hospital Other (100%) Feb 20, 2007

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 12

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": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1003964677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "address_2": "404 N. CHESTNUT ST.",
            "city": "JOHNSON",
            "state": "KS",
            "postal_code": "678550779",
            "telephone_number": "620-492-6250",
            "fax_number": "620-492-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N. CHESTNUT ST.",
            "city": "JOHNSON",
            "state": "KS",
            "postal_code": "678550779",
            "telephone_number": "620-492-6250",
            "fax_number": "620-492-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANTON COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-492-6250"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H094001",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "H094001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROFESSIONAL",
            "identifier": "016858",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID, PROFESSIONAL",
            "identifier": "100099050A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson, KS

Sources for this page

Verify at the official NPI Registry.