NPIMap

Organization Active NPI

Neosho Memorial Regional Medical Center

  • Critical Access Hospital
  • Chanute, KS
National Provider Identifier
1073566949
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
NEOSHO MEMORIAL REGIONAL MEDICAL CENTER
Practice address
629 S Plummer Ave
Chanute, KS 66720-1928
Phone
(620) 431-4000
Fax
(620) 431-7556
NPI assigned
May 19, 2006
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
No

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
Critical Access Hospital 282NC0060X NU Primary

Addresses

Primary practice location

629 S Plummer Ave
Chanute, KS 66720-1928

Mailing address

PO Box 426
Chanute, KS 66720-0426
Phone (620) 431-4000

Other identifiers 2

IdentifierTypeStateIssuer
000135OtherKSBCBS MEDICAL
100004340AMedicaidKS

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
O20061104000505 KS Part A Provider - Critical Access Hospital 9133022882 Receives reassigned benefits from 36 practitioners
2 other NPIs on this enrollment
Practice locations: Chanute, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073566949. Details of each certification follow.

Hospital certification: CCN 171380

Legal name
NEOSHO MEMORIAL REGIONAL MEDICAL CENTER
Doing business as
NEOSHO MEMORIAL REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Sep 1, 2005
Last certification
Aug 22, 2013
Beds
25
Ownership / control type
Local
Organization structure
OtherNon-profit
Enrollment address
629 S Plummer Ave
Chanute, KS 66720-1928
Other Hospital Practice Location

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).

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Neosho Memorial Regional Medical CenterCCN 171380 · All quality measures
Overall star rating
1 of 5
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
Neosho Memorial Reg Med15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Interoperability endpoints

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

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Philip a Jarred Individual Corporate DirectorTrustee May 1, 2017
Wendy Brazil Individual Corporate OfficerCoo Jan 1, 2021
Operational/Managerial ControlCoo Jan 1, 2021
Bruce a Mullen Individual Corporate Director Dec 1, 2005
Bruce Jackson Individual Corporate Director Aug 16, 2006
Katie Tinsley Individual Corporate OfficerCfo Jan 1, 2021
Operational/Managerial ControlCfo Jan 1, 2021
Dennis Franks Individual Contracted Managing EmployeeCeo Apr 1, 2006
David M Robinson Individual Corporate Director Dec 1, 2005
Alison Mih Individual Operational/Managerial ControlBoard Member Mar 30, 2021
Neosho County Organization, Erie, KS 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%
Garrett Sharp Individual Operational/Managerial ControlBoard Member Mar 30, 2021
Larry Nelson Individual Corporate DirectorDirector Nov 2, 2012

Owners & managing parties with NPI records 1

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

  • Neosho County

    dba Neosho County Health Department

    • Registered Nurse
    • Chanute, KS
    • NPI 1841372414

    5% Or Greater Direct Ownership Interest

    CMS ownership

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.

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 43

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 43

Affiliated clinicians 126

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

View all 126

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1073566949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667200426",
            "telephone_number": "620-431-4000",
            "fax_number": "620-431-7556"
        },
        {
            "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": "620-431-4000",
            "fax_number": "620-431-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOSHO MEMORIAL REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "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": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MEDICAL",
            "identifier": "000135",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100004340A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "koralynbarkman@Neosho.CernerDirect.com",
            "affiliation": "N",
            "endpointDescription": "NMRMC Direct Email 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": []
}

Other providers in Chanute, KS

Sources for this page

Verify at the official NPI Registry.