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Sedan City Hospital

Organization Active NPI Critical Access Hospital · Sedan, KS

NPI 1033114277 · NPPES record last updated Sep 17, 2009

Key facts

NPI
1033114277
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
H010002 (KS)
Legal business name
SEDAN CITY HOSPITAL
Practice address
300 W North St
Sedan, KS 67361-1051
Phone
(620) 725-3115
Fax
(620) 725-3297
NPI assigned
Jun 15, 2005
Organization subpart
No

Authorized official

Name
Michelle Williams
Title
Administrator
Phone
(620) 725-3115

Owners & managing parties with NPI records 3

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

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 2

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

Corporate family (same tax ID) 2

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

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

Facilities with the same owner 5

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

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 16

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

Medicare Care Compare: Hospital

Listed as
Sedan City Hospital CCN 171318
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Hospital certification: CCN 171318

Legal name
SEDAN CITY HOSPITAL
Doing business as
SEDAN CITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 8, 1999
Last certification
Apr 3, 2019
Beds
25
Ownership / control type
Local
Organization structure
Other · Non-profit
Enrollment address
300 W North St
Sedan, KS 67361-1051

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
Mary Simpson
Individual 		Corporate Director Jan 1, 2010
Jane Phillips Memorial Medical Center Inc
Organization · Bartlesville, OK 		Operational/Managerial Control Apr 1, 2003
Michelle L Williams
Individual 		Corporate Director Apr 6, 2005
W-2 Managing Employee
Administrator		 Jun 1, 2009
Jeanie Sue Beason
Individual 		Corporate Director Oct 23, 2019
Roger L Floyd
Individual 		Corporate Director Apr 6, 2005
Shelly Buck
Individual 		Corporate Director Aug 6, 2007
Timothy Hills
Individual 		Corporate Director Jan 1, 2002

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Sedan City Hospital
Sedan, KS · CCN 17Z318		 Hospital Operational/Managerial Control Jan 1, 1966

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20061104000096 KS Part a Provider - Critical Access Hospital 3476461823 Receives reassigned benefits from 4 practitioners
Practice locations: Sedan, KS

National Provider Directory

Tax ID family
Sedan City Hospital (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H010002 KS Yes

Addresses

Primary practice location

300 W North St
Sedan, KS 67361-1051

Mailing address

PO Box C
Sedan, KS 67361-0427
Phone (620) 725-3115

Other identifiers

IdentifierTypeStateIssuer
100695170AMedicaidOK
100104910AMedicaidKS
000962OtherKSBLUE CROSS

Other providers in Sedan, KS

All providers in Sedan, KS · Critical Access Hospital in Kansas

Sources for this page

Verify at the official NPI Registry.