NPIMap

Organization Active NPI

Greeley County Health Services, Inc.

Doing business as Greeley County Hospital

  • Critical Access Hospital
  • Tribune, KS
National Provider Identifier
1285742536
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H-036-001 Issued in KS
Legal business name
GREELEY COUNTY HEALTH SERVICES, INC.
Doing business as
Greeley County Hospital
Practice address
506 Third St.
Tribune, KS 67879
Phone
(620) 376-4221
Fax
(620) 376-2406
NPI assigned
Aug 28, 2006
Last updated
Feb 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Authorized official

Name
Trice Watts
Title
Ceo
Phone
(620) 376-4221

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H-036-001 KS
Critical Access Hospital 282NC0060X H-036-001 KS Primary
Certified Registered Nurse Anesthetist 367500000X H-036-001 KS

Addresses

Primary practice location

506 Third St.
Tribune, KS 67879

Mailing address

PO Box 338
Tribune, KS 67879-0338
Phone (620) 376-4221

Other identifiers 4

IdentifierTypeStateIssuer
110852OtherKSBCBS CRNA OLD
180056OtherKSBCBS CRNA
200383210EMedicaidKS
000106OtherKSBLUE CROSS PROVIDER NUMBE

Other names 1

  • Greeley County Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000641 KS Part A Provider - Critical Access Hospital 0042233496 Receives reassigned benefits from 20 practitioners
Practice locations: Tribune, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285742536. Details of each certification follow.

Hospital certification: CCN 171359

Legal name
GREELEY COUNTY HEALTH SERVICES INC
Doing business as
GREELEY COUNTY HEALTH SERVICES
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jun 1, 2003
Last certification
Jul 12, 2018
Beds
18
Ownership / control type
Local
Most recent change of ownership
Jan 1, 2006 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1949 in KS
Enrollment address
506 3Rd St
Tribune, KS 67879-9684
Main/Primary Hospital Location

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

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: Hospital

Medicare Care Compare
Listed as
Greeley County Health ServicesCCN 171359 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0453281Greeley County Hospital / Long Term Care506 Third Street, Tribune, KS 67879ComplianceJul 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
Greeley Cnty HLTH Serv Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Michael a Thon Individual Corporate DirectorDirector Jan 1, 2021 20%
Chris Dixon Individual Corporate DirectorDirector Jan 1, 2012 20%
Ben Fisher Individual Corporate DirectorDirector Jan 1, 2021 20%
Dan Hild Individual Corporate DirectorDirector Jan 1, 2021 20%
Linda Peterson Individual Corporate DirectorDirector Jan 1, 2021 20%
Trice Watts Individual Corporate OfficerCeo May 1, 2020
W-2 Managing EmployeeCeo May 1, 2020

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Greeley County Health Services IncTribune, KS, CCN 17Z359 Hospital 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2003
Greeley County Family Practice ClinicTribune, KS, CCN 178522 Rural health clinic Operational/Managerial Control Mar 8, 2006
Wallace County Family Practice ClinicSharon Springs, KS, CCN 178525 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2006

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 21

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 21

Affiliated clinicians 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1285742536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "TRIBUNE",
            "state": "KS",
            "postal_code": "678790338",
            "telephone_number": "620-376-4221",
            "fax_number": "620-376-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 THIRD ST.",
            "city": "TRIBUNE",
            "state": "KS",
            "postal_code": "67879",
            "telephone_number": "620-376-4221",
            "fax_number": "620-376-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREELEY COUNTY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-28",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "TRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-376-4221"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KS",
            "license": "H-036-001",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H-036-001",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "H-036-001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CRNA OLD",
            "identifier": "110852",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CRNA",
            "identifier": "180056",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200383210E",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "000106",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greeley County Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greeley County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tribune, KS

Sources for this page

Verify at the official NPI Registry.