Active NPI
Warsaw Health System LLC
Doing business as Lutheran Kosciusko Hospital
- General Acute Care Hospital
- Warsaw, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 15-0133
- Legal business name
- WARSAW HEALTH SYSTEM LLC
- Doing business as
- Lutheran Kosciusko Hospital
- Practice address
- 2101 E Dubois Dr
Warsaw, IN 46580-3210 - Phone
- (574) 267-3200
- Fax
- (574) 372-7692
- NPI assigned
- May 17, 2006
- Last updated
- Apr 30, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula Lalor
- Title
- Director/Delegated Official
- Phone
- (629) 215-3953
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 15-0133 | IN | Primary |
Addresses
Primary practice location
2101 E Dubois Dr
Warsaw, IN 46580-3210
Mailing address
2101 E. Dubois Drive
Warsaw, IN 46580-3210
Phone (574) 267-3200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100270330 | Medicaid | IN | |
| 100270330A | Medicaid | IN |
Other names 1
- Lutheran Kosciusko Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030122000003 | IN | Part A Provider - Hospital | 1355259136 | Practice locations: Warsaw, IN |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1164475711. Details of each certification follow.
Hospital certification: CCN 150133
- Legal name
- WARSAW HEALTH SYSTEM LLC
- Doing business as
- LUTHERAN KOSCIUSKO HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jun 6, 1976
- Last certification
- Jan 11, 2019
- Beds
- 72
- Ownership / control type
- Private (for profit)
- Organization structure
- LLC
- Enrollment address
- 2101 Dubois Dr
Warsaw, IN 46580-3210 - Hospital subgroups
- Acute care
Related certifications (CCN) 1
Facilities connected through Provider of Services related, parent or unit certification numbers.
-
dba Kosciusko Community Hospital
- Medicare Defined Swing Bed Hospital Unit
- Warsaw, IN
- NPI 1679173306
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Kosciusko Community Hospital
- Medicare Defined Swing Bed Hospital Unit
- Warsaw, IN
- NPI 1679173306
1355259136
Care Compare: Hospital
Medicare Care Compare- Listed as
- Kosciusko Community Hospital
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Provident Family Health
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Kosciusko Community Hospital
- Family Medicine Physician
- Pierceton, IN
- NPI 1578504031
Locations
13683 Collection Ctr Dr
Chicago, IL 60693
2101 Dubois Dr
Warsaw, IN 46580
Phone (219) 267-3200
Ownership & related parties
All disclosed owners & managing parties 16
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kevin J Hammons | Corporate Officer | Feb 27, 2012 | |
| Corporate Director | Jan 1, 2020 | ||
| Nathaniel K Summar | Corporate Director | Jul 15, 2017 | |
| Justin D Pitt | Corporate Officer | Mar 1, 2022 | |
| Corporate Director | Mar 1, 2022 | ||
| Chad Towner | W-2 Managing Employee | Sep 18, 2024 | |
| William Bradley Cash | Corporate Officer | Jun 11, 2018 | |
| Hma-Tri Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2015 | 100% |
| Community Health Systems Inc | 5% Or Greater Indirect Ownership Interest | Jul 25, 2007 | 100% |
| Frankfort Health Partner, Inc | 5% Or Greater Direct Ownership Interest | Sep 1, 2019 | 100% |
| Jason Kevin Johnson | Corporate Officer | Jan 6, 2020 | |
| Roman Gabriel Ottinger | Corporate Officer | Jan 6, 2020 | |
| Paula M Lalor | Corporate Director | Apr 1, 2017 | |
| Triad Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Dec 31, 2015 | 100% |
| Tennyson Holdings LLC | 5% Or Greater Indirect Ownership Interest | Jan 1, 2007 | 100% |
| Edna S Buffington-Price | Corporate Director | Mar 1, 2022 | |
| Christopher G Cobb | Corporate Officer | Apr 26, 2013 | |
| CHS Community Health Systems Inc | 5% Or Greater Indirect Ownership Interest | Jul 25, 2007 | 100% |
Facilities with the same owner 120
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Bluffton Regional Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Bluffton, IN
- NPI 1356839591
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba Bluffton Regional Medical Center
- General Acute Care Hospital
- Bluffton, IN
- NPI 1376594366
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba Dukes Memorial Hospital
- Critical Access Hospital
- Peru, IN
- NPI 1619920949
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba Dukes Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Peru, IN
- NPI 1992749691
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba Dupont Hospital
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1538110556
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba Lutheran Hospital of Indiana
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1306897335
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba Northwest Health- Starke
- Rural Acute Care Hospital
- Knox, IN
- NPI 1679948319
CHS Community Health Systems Inc, Community Health Systems Inc, Frankfort Health Partner, Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba Knox Family Medical Center
- Rural Health Clinic/Center
- Knox, IN
- NPI 1770936965
CHS Community Health Systems Inc, Community Health Systems Inc, Frankfort Health Partner, Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba Northwest Health-La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1750746285
CHS Community Health Systems Inc, Community Health Systems Inc, Frankfort Health Partner, Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba The Orthopaedic Hospital of Lutheran Health Network
- General Acute Care Hospital
- Fort Wayne, IN
- NPI 1174706576
CHS Community Health Systems Inc, Community Health Systems Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba Northwest Health-Porter
- Rehabilitation Hospital Unit
- Portage, IN
- NPI 1154571180
CHS Community Health Systems Inc, Community Health Systems Inc, Frankfort Health Partner, Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
-
dba Northwest Health-Porter
- General Acute Care Hospital
- Valparaiso, IN
- NPI 1215151154
CHS Community Health Systems Inc, Community Health Systems Inc, Frankfort Health Partner, Inc, Hma-Tri Holdings LLC, Tennyson Holdings LLC, Triad Healthcare LLC
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Diagnostic Radiology Physician
- Rancho Cucamonga, CA
- NPI 1568435717
Affiliated clinicians 229
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Cardiovascular Disease Physician
- Indianapolis, IN
- NPI 1891766309
Hospital
-
- Critical Care Medicine (Internal Medicine) Physician
- Fort Wayne, IN
- NPI 1730472945
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745971200000",
"number": "1164475711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 E. DUBOIS DRIVE",
"city": "WARSAW",
"state": "IN",
"postal_code": "465803210",
"telephone_number": "574-267-3200",
"fax_number": "574-372-7692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 E DUBOIS DR",
"city": "WARSAW",
"state": "IN",
"postal_code": "465803210",
"telephone_number": "574-267-3200",
"fax_number": "574-372-7692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARSAW HEALTH SYSTEM LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A",
"authorized_official_last_name": "LALOR",
"authorized_official_first_name": "PAULA",
"authorized_official_title_or_position": "DIRECTOR/DELEGATED OFFICIAL",
"authorized_official_telephone_number": "629-215-3953"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "IN",
"license": "15-0133",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100270330",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100270330A",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lutheran Kosciusko Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Warsaw, IN
- Nancy J Warren, LMHC
- Warsaw Al, LLC
- Warsaw Community Schools
- Warsaw Foot and Ankle Center PC
- Warsaw Health System LLC (Center of Hope Cancer Center)
- Warsaw Health System LLC (Provident Family Healthcare)
- Warsaw Health System LLC (Warsaw Family Medicine)
- Warsaw Health System LLC (Kosciusko Community Hospital)
- Warsaw Health System LLC (Pediatric Healthcare)
- Warsaw Health System, LLC (Northern Lakes Orthopaedics & Sports Medicine)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.