NPIMap

Organization Active NPI

Morris County Hospital

  • Land Ambulance
  • Council Grove, KS
National Provider Identifier
1255353454
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1330 Issued in KS
Legal business name
MORRIS COUNTY HOSPITAL
Practice address
600 N Washington St
Council Grove, KS 66846-1422
Phone
(620) 767-6811
Fax
(620) 767-5611
NPI assigned
Jul 24, 2006
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mr. David Owen, EMT
Title
Director
Phone
(620) 767-6811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1330 KS Primary

Addresses

Primary practice location

600 N Washington St
Council Grove, KS 66846-1422

Mailing address

600 N Washington St
Council Grove, KS 66846-1422
Phone (620) 767-6811

Other identifiers 2

IdentifierTypeStateIssuer
100098880BMedicaidKS
015956OtherKSBLUE CROSS GROUP NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050419001417 KS Part A Provider - Critical Access Hospital 8426096504 Receives reassigned benefits from 19 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Council Grove, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1255353454. Details of each certification follow.

Hospital certification: CCN 171379

Legal name
MORRIS COUNTY HOSPITAL
Doing business as
MORRIS COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jul 1, 2005
Last certification
Sep 14, 2017
Beds
21
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Enrollment address
600 N Washington St
Council Grove, KS 66846-1422
Other Hospital Practice Location

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

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Morris County HospitalCCN 171379 · All quality measures
Overall star rating
3 of 5
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Morris County10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

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
Kevin a Leeper Individual Corporate OfficerCeo Mar 12, 2018
W-2 Managing EmployeeCeo Mar 12, 2018
Morris County Organization, Council Grove, KS 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%

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 52

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

View all 52

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1255353454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N WASHINGTON ST",
            "city": "COUNCIL GROVE",
            "state": "KS",
            "postal_code": "668461422",
            "telephone_number": "620-767-6811",
            "fax_number": "620-767-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N WASHINGTON ST",
            "city": "COUNCIL GROVE",
            "state": "KS",
            "postal_code": "668461422",
            "telephone_number": "620-767-6811",
            "fax_number": "620-767-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "620-767-6811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KS",
            "license": "1330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098880B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "015956",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Grove, KS

Sources for this page

Verify at the official NPI Registry.