NPIMap

Organization Active NPI

Nemaha Valley Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Seneca, KS
National Provider Identifier
1225004914
Registry record updated Oct 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
NEMAHA VALLEY COMMUNITY HOSPITAL
Practice address
1600 Community Dr
Seneca, KS 66538-9739
Phone
(785) 336-6181
Fax
(785) 336-3052
NPI assigned
Feb 23, 2006
Last updated
Oct 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2020

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

Authorized official

Name
Mrs. Kiley Floyd
Title
Ceo
Phone
(785) 336-6181

Specialties & licenses 1

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

Addresses

Primary practice location

1600 Community Dr
Seneca, KS 66538-9739

Mailing address

1600 Community Dr
Seneca, KS 66538-9739
Phone (785) 336-6181

Other identifiers 2

IdentifierTypeStateIssuer
100099360AMedicaidKS
1153OtherKSBCBS SWINGBED

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050228000745 KS Part B Supplier - Clinic/Group Practice 2668383472 Receives reassigned benefits from 37 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Axtell, KS; Seneca, KS
O20070227000071 KS Part A Provider - Critical Access Hospital 2668383472 Practice locations: Seneca, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225004914. Details of each certification follow.

Hospital certification: CCN 17Z315

Legal name
NEMAHA VALLEY COMMUNITY HOSPITAL
Doing business as
NEMAHA VALLEY COMMUNITY HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Nov 14, 1969 in KS
Enrollment address
1600 Community Dr
Seneca, KS 66538-9739
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory

Locations

207 5th St
Axtell, KS 66403
Phone (785) 336-6107

15 S 5th St
Seneca, KS 66538
Phone (785) 336-3446

201 N 6th St
Seneca, KS 66538
Phone (785) 336-6107

604 Nemaha St
Seneca, KS 66538
Phone (913) 336-6181

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Edward L Mohney Individual Corporate DirectorChairman Jul 1, 2011
Leah Hermesch Individual Corporate Director Jul 1, 2019
Leroy a Strathman Individual Corporate DirectorBoard Member Jul 1, 2011
Lynda Cross Individual W-2 Managing EmployeeDirector of Nursing Apr 2, 2014
Jarod D Snyder Individual Corporate DirectorChief of Staff Jul 1, 2019
W-2 Managing EmployeeChief of Staff Jul 1, 2019
Nemaha Valley Community Hospital Organization, Seneca, KS Non-profit Operational/Managerial Control Apr 2, 2014 100%
James J Lueger Individual W-2 Managing Employee Jul 1, 2019
William Love Individual Corporate Director Jul 1, 2019
Kris Enneking Individual Corporate DirectorSecretary Jul 1, 2019
Kiley a Floyd Individual Corporate DirectorCeo Jun 1, 2016
W-2 Managing EmployeeCeo Jun 1, 2016
Mary Haverkamp Individual Corporate Director Jul 1, 2019
James M Runnebaum Individual Corporate DirectorBoard Member Jul 10, 2010
Dennis R Henry Individual Corporate DirectorBoard Member Jul 1, 2011
Connie Ingwerson Individual W-2 Managing EmployeeCfo Apr 2, 2014
Frederick L Henry Individual Corporate DirectorVice Chairman Jul 1, 2013
Katie Nordhus Individual Corporate Director Jul 1, 2019
Steve E Haverkamp Individual Corporate DirectorBoard Member Jul 1, 2010
TJ Haverkamp Individual Corporate Director Jul 1, 2019

Owners & managing parties with NPI records 4

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Nemaha Valley Community HospitalSeneca, KS, CCN 171315 Hospital Operational/Managerial Control (100%) Apr 2, 2014
Seneca Family PracticeSeneca, KS, CCN 178507 Rural health clinic Operational/Managerial Control Dec 18, 2014

Owned or controlled facilities with NPI records 2

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.

Practitioners & affiliated clinicians

Practitioners 37

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 37

Affiliated clinicians 8

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": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1225004914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 COMMUNITY DR",
            "city": "SENECA",
            "state": "KS",
            "postal_code": "665389739",
            "telephone_number": "785-336-6181",
            "fax_number": "785-336-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COMMUNITY DR",
            "city": "SENECA",
            "state": "KS",
            "postal_code": "665389739",
            "telephone_number": "785-336-6181",
            "fax_number": "785-336-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEMAHA VALLEY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "KILEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-336-6181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099360A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SWINGBED",
            "identifier": "1153",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, KS

Sources for this page

Verify at the official NPI Registry.