NPIMap

Organization Active NPI

Washington County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Washington, KS
National Provider Identifier
1154323848
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
17Z351 Issued in KS
Legal business name
WASHINGTON COUNTY HOSPITAL
Practice address
304 E 3Rd St
Washington, KS 66968-2033
Phone
(785) 325-2211
Fax
(785) 325-3224
NPI assigned
Aug 11, 2005
Last updated
Jul 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Authorized official

Name
Roxanne Schottel
Title
Ceo
Phone
(785) 325-2211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X 17Z351 KS Primary

Addresses

Primary practice location

304 E 3Rd St
Washington, KS 66968-2033

Mailing address

304 E 3Rd St
Washington, KS 66968-2033
Phone (785) 325-2211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220525000745 KS Part A Provider - Critical Access Hospital 6901844208 Practice locations: Washington, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1154323848. Details of each certification follow.

Hospital certification: CCN 17Z351

Legal name
WASHINGTON COUNTY HOSPITAL
Organization structure
GovernmentProprietary
Enrollment address
304 E 3Rd St
Washington, KS 66968-2098
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/wascoks-3f5e9228

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Mike Kongs Individual Corporate OfficerBoard Member- Treasurer Jan 1, 2025
Staci Cardenas Individual Corporate OfficerBoard Member- Chair Jan 1, 2023
Roxanne Schottel Individual Operational/Managerial ControlCeo Apr 15, 2014
Scott Bokelman Individual Corporate OfficerBoard Member- Vice Chair Jan 1, 2025
Jana Rollman Individual Corporate OfficerBoard Member- Secretary Jan 1, 2024
Lawson Babb Individual Corporate OfficerBoard Member- Patient Advocate Jan 1, 2025

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Washington County HospitalWashington, KS, CCN 171351 Hospital Operational/Managerial Control Jul 6, 2010

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 3

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1154323848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E 3RD ST",
            "city": "WASHINGTON",
            "state": "KS",
            "postal_code": "669682033",
            "telephone_number": "785-325-2211",
            "fax_number": "785-325-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E 3RD ST",
            "city": "WASHINGTON",
            "state": "KS",
            "postal_code": "669682033",
            "telephone_number": "785-325-2211",
            "fax_number": "785-325-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "SCHOTTEL",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-325-2211"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "KS",
            "license": "17Z351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, KS

Sources for this page

Verify at the official NPI Registry.