NPIMap

Organization Active NPI

Ashland District Hospital

  • Critical Access Hospital
  • Ashland, KS
National Provider Identifier
1265529614
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H013001 Issued in KS
Legal business name
ASHLAND DISTRICT HOSPITAL
Practice address
625 Kentucky St
Ashland, KS 67831-3199
Phone
(620) 635-2241
Fax
(620) 635-2229
NPI assigned
Oct 6, 2006
Last updated
Mar 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Mrs. Sandrea Wright
Title
Ceo/Administrator
Phone
(620) 635-2241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H013001 KS Primary

Addresses

Primary practice location

625 Kentucky St
Ashland, KS 67831-3199

Mailing address

PO Box 188
Ashland, KS 67831-0188
Phone (620) 635-2241

Other identifiers 1

IdentifierTypeStateIssuer
100098770AMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000460 KS Part A Provider - Critical Access Hospital 6800849324 Receives reassigned benefits from 28 practitioners
Practice locations: Ashland, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265529614. Details of each certification follow.

Hospital certification: CCN 171304

Legal name
ASHLAND DISTRICT HOSPITAL
Doing business as
ASHLAND HEALTH CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 22, 1994
Last certification
Feb 7, 2018
Beds
25 (12 certified)
Ownership / control type
Other
Organization structure
OtherNon-profit
Enrollment address
625 Kentucky St
Box 188
Ashland, KS 67831-3199
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).

Care Compare: Hospital

Medicare Care Compare
Listed as
Ashland Health CenterCCN 171304 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Ashland Dist Hosp PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

625 Kentucky St
#188
Ashland, KS 67831
Phone (620) 635-2241

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Sandra Moore Individual Corporate OfficerCfo Nov 1, 2021
W-2 Managing EmployeeCfo Feb 16, 2020
Steve L Elmore Individual W-2 Managing Employee Oct 19, 2011
Operational/Managerial ControlBoard of Trustees Member Jun 28, 2011
Jessie Luckie Individual Corporate OfficerChairman Jan 1, 2018
Great Plains Health Alliance Inc Organization, Wichita, KS Management services company Other Aug 1, 1989
Kim Hazen Individual Corporate OfficerVice Chairman May 1, 2015
Jannica Null Individual Corporate OfficerSecretary Jan 1, 2018
Chance Wilkinson Individual Corporate OfficerBoard Member Jan 1, 2022
Sandrea D Wright Individual Corporate OfficerCeo Nov 1, 2021
W-2 Managing EmployeeCeo Jul 5, 2016

Practitioners & affiliated clinicians

Practitioners 31

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 31

Affiliated clinicians 12

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1265529614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "ASHLAND",
            "state": "KS",
            "postal_code": "678310188",
            "telephone_number": "620-635-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 KENTUCKY ST",
            "city": "ASHLAND",
            "state": "KS",
            "postal_code": "678313199",
            "telephone_number": "620-635-2241",
            "fax_number": "620-635-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLAND DISTRICT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "SANDREA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "620-635-2241",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H013001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098770A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KS

Sources for this page

Verify at the official NPI Registry.