NPIMap

Organization Active NPI

Neosho Memorial Regional Medical Center

Doing business as NMRMC ER Group

  • General Acute Care Hospital
  • Chanute, KS
National Provider Identifier
1053442772
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
NEOSHO MEMORIAL REGIONAL MEDICAL CENTER
Doing business as
NMRMC ER Group
Practice address
629 S Plummer Ave
Chanute, KS 66720-1928
Phone
(620) 432-5314
Fax
(620) 431-7556
NPI assigned
Mar 7, 2007
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NEOSHO MEMORIAL REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Lauren K Tinsley
Title
Cfo
Phone
(620) 431-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

629 S Plummer Ave
Chanute, KS 66720-1928

Mailing address

629 S Plummer Ave
Chanute, KS 66720-1928

Other identifiers 2

IdentifierTypeStateIssuer
014064OtherKSPROFESSIONAL
100004340BMedicaidKS

Other names 1

  • NMRMC ER Group Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address koralynbarkman@Neosho.CernerDirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040129000863 KS Part B Supplier - Clinic/Group Practice 9133022882 Receives reassigned benefits from 50 practitioners
8 other NPIs on this enrollment
Practice locations: Chanute, KS; Erie, KS

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 8

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

National Provider Directory

National Provider Directory
Part of
Nmrmc

Interoperability endpoints

  • Direct secure messaging: koralynbarkman@neosho.cernerdirect.com

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
Nmrmc Erie Family Care ClinicErie, KS, CCN 178584 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013

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 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1053442772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 S PLUMMER AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 S PLUMMER AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201928",
            "telephone_number": "620-432-5314",
            "fax_number": "620-431-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOSHO MEMORIAL REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEOSHO MEMORIAL REGIONAL MEDICAL CENTER",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "TINSLEY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "620-431-4000"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL",
            "identifier": "014064",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100004340B",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "koralynbarkman@Neosho.CernerDirect.com",
            "affiliation": "N",
            "endpointDescription": "NMRMC ER Direct Mail Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "629 S Plummer Ave",
            "city": "Chanute",
            "state": "KS",
            "country_code": "US",
            "postal_code": "667201928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "NMRMC ER Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NMRMC ER Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chanute, KS

Sources for this page

Verify at the official NPI Registry.