NPIMap

Organization Active NPI

Mercy Hospital Inc

  • Rural Acute Care Hospital
  • Moundridge, KS
National Provider Identifier
1083628911
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
Legal business name
MERCY HOSPITAL INC
Practice address
218 E Pack St
Moundridge, KS 67107-8815
Phone
(620) 345-6391
Fax
(620) 345-6344
NPI assigned
Jul 28, 2006
Last updated
Apr 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Aaron Herbel
Title
Administrator and Cfo
Phone
(620) 345-6391

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H059003 KS
Rural Acute Care Hospital 282NR1301X Primary
Certified Registered Nurse Anesthetist 367500000X

Addresses

Primary practice location

218 E Pack St
Moundridge, KS 67107-8815

Mailing address

218 E Pack St
Moundridge, KS 67107-8815
Phone (620) 345-6391

Other identifiers 2

IdentifierTypeStateIssuer
100099200AMedicaidKS
30003913080001MedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211209000746 KS Part B Supplier - Clinic/Group Practice 9436163474 Receives reassigned benefits from 25 practitioners
Practice locations: Moundridge, KS
O20231030000185 KS Part A Provider - Rural Emergency Hospital (Reh) 9436163474 Practice locations: Hesston, KS; Moundridge, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083628911. Details of each certification follow.

Hospital certification: CCN 170780

Legal name
MERCY HOSPITAL INC
Doing business as
MERCY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Rural emergency hospital
Participating since
Jan 1, 2024
Last certification
Oct 24, 2023
Beds
1
Ownership / control type
Church
Organization structure
CorporationNon-profit
Enrollment address
218 E Pack St
Moundridge, KS 67107-8815
Main/Primary Hospital Location

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Mercy Hospital, IncCCN 170780 · All quality measures
Type
Rural Emergency Hospital
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Donavon Lee Koehn Individual Corporate Director Jan 1, 2020
Vince Koehn Individual Corporate Director Jan 1, 2021
Merrill Yost Individual Corporate Director Jul 1, 2023
Clifford Koehn Individual Corporate Director Jan 1, 2019
Doyle Wiebe Individual Corporate OfficerSecretary/Treasurer Jan 1, 2020
Corporate Director Jan 1, 2018
Waylan Wiggers Individual Corporate OfficerAsst. Chairman Jul 1, 2023
Corporate Director Jan 1, 2019
Kendel Koehn Individual Corporate Director May 1, 2020
Aaron J Herbel Individual Corporate OfficerAdministrator and Cfo Apr 4, 2017
W-2 Managing EmployeeAdministrator and Cfo Apr 4, 2017
Lonnie Unruh Individual Corporate Director Jan 1, 2021
David Becker Individual Corporate Director Jan 1, 2020
Merle Ensz Individual Corporate Director Jan 1, 2022
David Litwiller Individual Corporate OfficerChairman Jun 27, 2023
Corporate DirectorChairman Jan 1, 2019
Steven Johnson Individual Corporate Director Jan 1, 2023
Church of God in Christ Mennonite Organization, Moundridge, KS Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Moundridge ManorMoundridge, KS, CCN 175553 Skilled nursing facility Adp of the SNF Oct 1, 2024

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 2

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 31

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 31

Affiliated clinicians 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1083628911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 E PACK ST",
            "city": "MOUNDRIDGE",
            "state": "KS",
            "postal_code": "671078815",
            "telephone_number": "620-345-6391",
            "fax_number": "620-345-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 E PACK ST",
            "city": "MOUNDRIDGE",
            "state": "KS",
            "postal_code": "671078815",
            "telephone_number": "620-345-6391",
            "fax_number": "620-345-6344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "HERBEL",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "ADMINISTRATOR AND CFO",
        "authorized_official_telephone_number": "620-345-6391"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KS",
            "license": "H059003",
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099200A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003913080001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moundridge, KS

Sources for this page

Verify at the official NPI Registry.