NPIMap

Organization Active NPI

Greenwood County Hospital

  • Home Health Agency
  • Eureka, KS
National Provider Identifier
1275531485
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
A-037-002 Issued in KS
Legal business name
GREENWOOD COUNTY HOSPITAL
Practice address
100 W 16TH St
Eureka, KS 67045-1064
Phone
(620) 583-5909
Fax
(620) 583-5189
NPI assigned
Jul 12, 2005
Last updated
Apr 15, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
GREENWOOD COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Thomas Henton
Title
Chief Executive Officer
Phone
(620) 583-7451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X A-037-002 KS Primary

Addresses

Primary practice location

100 W 16TH St
Eureka, KS 67045-1064

Mailing address

100 W 16TH St
Eureka, KS 67045-1064
Phone (620) 583-5909

Other identifiers 4

IdentifierTypeStateIssuer
100070000BMedicaidKS
100070000CMedicaidKS
100098920CMedicaidKS
00855OtherKSHOME HEALTH PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050617000024 KS Part A Provider - Home Health Agency 0042129603 Practice locations: Eureka, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275531485. Details of each certification follow.

Home health agency certification: CCN 177243

Legal name
GREENWOOD COUNTY HOSPITAL
Doing business as
GREENWOOD COUNTY HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 4, 1993
Last certification
Feb 14, 2019
Ownership / control type
Government Operated
Organization structure
OtherNon-profit
Enrollment address
100 W 16TH St
Eureka, KS 67045-1064
HHA Branch

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Home health agency

Medicare Care Compare
Listed as
Greenwood County Hospital HHACCN 177243 · All quality measures
Overall star rating
3.5 of 5
Ownership
Government Operated
Certified
Aug 4, 1993
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Greenwood County Hospital8 organizations share this tax ID, including this one
Part of
Greenwood County Hospital

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Greenwood County Hospital Organization, Eureka, KS Created for acquisition Other Apr 15, 1993 100%
Sandra K Dickerson Individual Corporate OfficerCeo May 1, 2018
W-2 Managing EmployeeCeo May 1, 2018
Operational/Managerial ControlCeo May 1, 2018
Janel M Palmer Individual W-2 Managing Employee Jan 1, 2004
Vicki Crane Individual Operational/Managerial ControlBiller Oct 1, 1995

Owners & managing parties with NPI records 4

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

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1275531485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 16TH ST",
            "city": "EUREKA",
            "state": "KS",
            "postal_code": "670451064",
            "telephone_number": "620-583-5909",
            "fax_number": "620-583-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 16TH ST",
            "city": "EUREKA",
            "state": "KS",
            "postal_code": "670451064",
            "telephone_number": "620-583-5909",
            "fax_number": "620-583-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENWOOD COUNTY HOSPITAL",
        "enumeration_date": "2005-07-12",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "HENTON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "620-583-7451"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "A-037-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100070000B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100070000C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098920C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH PROVIDER #",
            "identifier": "00855",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, KS

Sources for this page

Verify at the official NPI Registry.