NPIMap

Organization Active NPI

Minneola District Hospital

Doing business as Minneola District Hospital Long Term Care Unit

  • Nursing Facility/Intermediate Care Facility
  • Minneola, KS
National Provider Identifier
1023199908
Registry record updated Mar 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
17E470 Issued in KS
Legal business name
MINNEOLA DISTRICT HOSPITAL
Doing business as
Minneola District Hospital Long Term Care Unit
Practice address
207 Chestnut Street
Minneola, KS 67865-8511
Phone
(620) 885-4238
Fax
(620) 885-4479
NPI assigned
Oct 18, 2006
Last updated
Mar 18, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
MINNEOLA DISTRICT HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 18, 2014

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

Authorized official

Name
Debbie Bruner
Title
Ceo
Phone
(620) 885-4264

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 17E470 KS Primary

Addresses

Primary practice location

207 Chestnut Street
Minneola, KS 67865-8511

Mailing address

PO Box 127
Minneola, KS 67865-0127
Phone (620) 885-4238

Other identifiers 1

IdentifierTypeStateIssuer
200251270AMedicaidKS

Other names 1

  • Minneola District Hospital Long Term Care Unit Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Minneola Dist Hosp4 organizations share this tax ID, including this one
Part of
Minneola Dist Hosp

Other organizations with this tax ID 3

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/37f6d032-7bca-45b8-891c-69b79d7f4de8/

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1023199908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 127",
            "city": "MINNEOLA",
            "state": "KS",
            "postal_code": "678650127",
            "telephone_number": "620-885-4238",
            "fax_number": "620-885-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 CHESTNUT STREET",
            "city": "MINNEOLA",
            "state": "KS",
            "postal_code": "678658511",
            "telephone_number": "620-885-4238",
            "fax_number": "620-885-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNEOLA DISTRICT HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MINNEOLA DISTRICT HOSPITAL",
        "enumeration_date": "2006-10-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "BRUNER",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-885-4264"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": "17E470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200251270A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minneola District Hospital Long Term Care Unit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneola, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.