NPIMap

Organization Active NPI

Morris County Hospital

Doing business as MCH Medical Clinic

  • Rural Health Clinic/Center
  • Council Grove, KS
National Provider Identifier
1306991948
Registry record updated Sep 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MORRIS COUNTY HOSPITAL
Doing business as
MCH Medical Clinic
Practice address
604 N Washington St
Council Grove, KS 66846
Phone
(620) 767-5126
Fax
(620) 767-6910
NPI assigned
Jan 24, 2007
Last updated
Sep 5, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
MORRIS COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 5, 2018

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

Authorized official

Name
Ron Christenson
Title
Cfo
Phone
(620) 767-6811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

604 N Washington St
Council Grove, KS 66846

Mailing address

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

Other practice location 1

600 N Washington St
Council Grove, KS 66846-1422
Phone (620) 767-6811 ext. 141

Other identifiers 1

IdentifierTypeStateIssuer
100020480CMedicaidKS

Other names 1

  • MCH Medical Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180724001423 KS Part A Provider - Rural Health Clinic 8426096504 Practice locations: Council Grove, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306991948. Details of each certification follow.

Rural health clinic certification: CCN 178617

Legal name
MORRIS COUNTY HOSPITAL
Doing business as
MCH MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 21, 2018
Last certification
Nov 11, 2024
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
604 N Washington St
Council Grove, KS 66846-1422
Related CCNs
171379

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

Other NPIs with the same Medicare PAC ID 6

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

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
17D0450747MCH Medical Clinic604 N Washington, Council Grove, KS 66846Certificate of waiverJun 17, 2027

National Provider Directory

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

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 3

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

NameRoleSinceShare
Ronald Christenson Individual W-2 Managing EmployeeCfo Jan 8, 2007
Kevin a Leeper Individual Corporate OfficerCeo Mar 12, 2018 100%
Morris County Organization, Council Grove, KS 5% Or Greater Direct Ownership Interest Jan 1, 1966 100%

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
MCH Clinic Chase CountyCottonwood Falls, KS, CCN 178585 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
MCH Clinic White CityWhite City, KS, CCN 178626 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Aug 12, 2019
Aug 12, 2019

Owned or controlled facilities with NPI records 2

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

  • Morris County Hospital

    dba MCH Clinic White City

    • Rural Health Clinic/Center
    • White City, KS
    • NPI 1134774821

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership
  • Morris County Hospital

    dba MCH Clinic Chase County

    • Rural Health Clinic/Center
    • Cottonwood Falls, KS
    • NPI 1982783007

    5% Or Greater Direct Ownership Interest

    CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536105600000",
    "number": "1306991948",
    "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": "604 N WASHINGTON ST",
            "city": "COUNCIL GROVE",
            "state": "KS",
            "postal_code": "66846",
            "telephone_number": "620-767-5126",
            "fax_number": "620-767-6910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Washington St",
            "address_purpose": "LOCATION",
            "city": "Council Grove",
            "state": "KS",
            "postal_code": "668461422",
            "country_code": "US",
            "telephone_number": "620-767-6811 x141",
            "fax_number": "620-767-5611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MORRIS COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MORRIS COUNTY HOSPITAL",
        "enumeration_date": "2007-01-24",
        "last_updated": "2018-09-05",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSON",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "620-767-6811"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100020480C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCH Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Council Grove, KS

Sources for this page

Verify at the official NPI Registry.