NPIMap

Organization Active NPI

Sedan City Hospital

  • Critical Access Hospital
  • Sedan, KS
National Provider Identifier
1033114277
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H010002 Issued in 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
Last updated
Sep 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

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

Specialties & licenses 1

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

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 3

IdentifierTypeStateIssuer
100104910AMedicaidKS
000962OtherKSBLUE CROSS
100695170AMedicaidOK

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033114277. Details of each certification follow.

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
OtherNon-profit
Enrollment address
300 W North St
Sedan, KS 67361-1051

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Sedan City HospitalCCN 171318 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Sedan City Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

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 EmployeeAdministrator 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

Owners & managing parties with NPI records 3

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

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 HospitalSedan, KS, CCN 17Z318 Hospital Operational/Managerial Control Jan 1, 1966

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 5

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

Practitioners & affiliated clinicians

Practitioners 4

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.

Affiliated clinicians 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1033114277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX C",
            "city": "SEDAN",
            "state": "KS",
            "postal_code": "673610427",
            "telephone_number": "620-725-3115",
            "fax_number": "620-725-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W NORTH ST",
            "city": "SEDAN",
            "state": "KS",
            "postal_code": "673611051",
            "telephone_number": "620-725-3115",
            "fax_number": "620-725-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDAN CITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-15",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "620-725-3115"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H010002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100104910A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000962",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100695170A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedan, KS

Sources for this page

Verify at the official NPI Registry.