NPIMap

Organization Active NPI

Greenwood County Hospital

Doing business as Howard Clinic

  • Rural Health Clinic/Center
  • Howard, KS
National Provider Identifier
1114035102
Registry record updated Feb 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
GREENWOOD COUNTY HOSPITAL
Doing business as
Howard Clinic
Practice address
118 S Wabash St
Howard, KS 67349
Phone
(620) 374-2650
Fax
(620) 374-2789
NPI assigned
Aug 29, 2006
Last updated
Feb 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2014

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

Authorized official

Name
Thomas N Henton
Title
Ceo
Phone
(620) 583-7451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

118 S Wabash St
Howard, KS 67349

Mailing address

118 S Wabash St
Howard, KS 67349
Phone (620) 374-2650

Other names 1

  • Howard Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070417000546 KS Part A Provider - Rural Health Clinic 0042129603 Practice locations: Howard, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114035102. Details of each certification follow.

Rural health clinic certification: CCN 178542

Legal name
GREENWOOD COUNTY HOSPITAL
Doing business as
HOWARD CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 1, 2007
Last certification
Sep 6, 2011
Ownership / control type
Non-profit – church related
Most recent change of ownership
Mar 2, 2007 (1 total)
Organization structure
GovernmentNon-profit
Incorporated
Mar 1, 2007 in KS
Enrollment address
118 S Wabash
Howard, KS 67349-0880
Related CCNs
178542, 178981

Other NPIs with the same Medicare PAC ID 4

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0697120Howard Clinic118 South Wabash, Howard, KS 67349Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Greenwood County Hospital8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12044/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/59ddc031-60ca-4feb-adf7-162696421640/

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Sandra K Dickerson Individual Corporate OfficerCeo May 1, 2018
W-2 Managing EmployeeCeo May 1, 2018
County of Greenwood Organization, Eureka, KS 5% Or Greater Direct Ownership Interest Mar 1, 2007 100%

Owners & managing parties with NPI records 2

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
Greenwood County Home Health AgencyEureka, KS, CCN 177243 Home health agency Other (100%) Apr 15, 1993

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391990400000",
    "number": "1114035102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S WABASH ST",
            "city": "HOWARD",
            "state": "KS",
            "postal_code": "67349",
            "telephone_number": "620-374-2650",
            "fax_number": "620-374-2789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S WABASH ST",
            "city": "HOWARD",
            "state": "KS",
            "postal_code": "67349",
            "telephone_number": "620-374-2650",
            "fax_number": "620-374-2789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2014-02-10",
        "status": "A",
        "authorized_official_last_name": "HENTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-583-7451"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Howard Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Howard, KS

Sources for this page

Verify at the official NPI Registry.