NPIMap

Organization Active NPI

Hospital District No 6 of Harper County Kansas

Doing business as Conway Springs Rural Health Clinic

  • Rural Health Clinic/Center
  • Conway Springs, KS
National Provider Identifier
1013436260
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HOSPITAL DISTRICT NO 6 OF HARPER COUNTY KANSAS
Doing business as
Conway Springs Rural Health Clinic
Practice address
111 W Spring Ave
Conway Springs, KS 67031-3100
Phone
(620) 456-2411
NPI assigned
Sep 19, 2017
Last updated
Sep 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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

Authorized official

Name
Ms. Lori Allen
Title
Cfo
Phone
(620) 842-5111

Specialties & licenses 1

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

Addresses

Primary practice location

111 W Spring Ave
Conway Springs, KS 67031-3100

Mailing address

1101 E Spring St
Anthony, KS 67003-2122

Other names 1

  • Conway Springs Rural Health Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171115001626 KS Part A Provider - Rural Health Clinic 3779571906 Practice locations: Conway Springs, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013436260. Details of each certification follow.

Rural health clinic certification: CCN 178549

Legal name
HOSPITAL DISTRICT NO 6 OF HARPER COUNTY KANSAS
Doing business as
CONWAY SPRINGS RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 1, 2007
Last certification
Jun 1, 2017
Ownership / control type
Non-profit – church related
Most recent change of ownership
Nov 1, 2017 (1 total)
Organization structure
OtherNon-profit
Enrollment address
111 W Spring Ave
Conway Springs, KS 67031-3100
Related CCNs
171346

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

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Anthony Primary Care5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Lee Cox Individual Corporate DirectorBoard Member May 1, 2015
Lori Allen Individual Corporate OfficerCfo May 1, 2006
W-2 Managing EmployeeCfo May 1, 2006
Dennis Roberts Individual Corporate DirectorBoard Member Nov 1, 2017
Hospital District No 6 of Harper County Kansas Organization, Anthony, KS Non-profit 5% Or Greater Direct Ownership Interest Nov 1, 2017 100%
Operational/Managerial Control Nov 1, 2017 100%
Alan Patterson Individual Corporate DirectorBoard Member May 1, 2014
Kimberly Barwick Individual W-2 Managing Employee Oct 22, 2004
Martha Hadsall Individual Corporate DirectorBoard Member May 1, 2013
Jan L Lanie Individual Corporate DirectorBoard Member Jan 1, 2008
Lisa Mathes Individual Corporate DirectorBoard Member Nov 1, 2017

Owners & managing parties with NPI records 6

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Patterson Health CenterAnthony, KS, CCN 17Z346 Hospital Other (100%) Jan 1, 1966
Patterson Health CenterAnthony, KS, CCN 173403 Rural health clinic Other Jan 1, 1966
Attica Rural Health ClinicAttica, KS, CCN 178533 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Nov 1, 2017
Nov 1, 2017

Owned or controlled facilities with NPI records 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505779200000",
    "number": "1013436260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 E SPRING ST",
            "city": "ANTHONY",
            "state": "KS",
            "postal_code": "670032122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W SPRING AVE",
            "city": "CONWAY SPRINGS",
            "state": "KS",
            "postal_code": "670313100",
            "telephone_number": "620-456-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL DISTRICT NO 6 OF HARPER COUNTY KANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2017-09-19",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "620-842-5111",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conway Springs Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conway Springs, KS

Sources for this page

Verify at the official NPI Registry.