NPIMap

Organization Active NPI

Hospital District No 1 Marion Co

Doing business as St. Luke Hospital

  • Critical Access Hospital
  • Marion, KS
National Provider Identifier
1326087966
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H057003 Issued in KS
Legal business name
HOSPITAL DISTRICT NO 1 MARION CO
Doing business as
St. Luke Hospital
Practice address
535 S Freeborn St
Marion, KS 66861-1256
Phone
(620) 382-2177
Fax
(620) 382-9104
NPI assigned
Jun 6, 2006
Last updated
Jan 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Authorized official

Name
Alex Haines
Title
Chief Executive Officer
Phone
(620) 382-2177

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X
Critical Access Hospital 282NC0060X H057003 KS Primary

Addresses

Primary practice location

535 S Freeborn St
Marion, KS 66861-1256

Mailing address

535 S Freeborn St
Marion, KS 66861-1256
Phone (620) 382-2177

Other identifiers 1

IdentifierTypeStateIssuer
100330020AMedicaidKS

Other names 1

  • St. Luke Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000413 KS Part A Provider - Critical Access Hospital 7517923196 Receives reassigned benefits from 24 practitioners
Practice locations: Marion, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1326087966. Details of each certification follow.

Hospital certification: CCN 171356

Legal name
HOSPITAL DISTRICT NO 1 MARION CO
Doing business as
ST LUKE HOSPITAL AND LIVING CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 14, 2003
Last certification
Jan 22, 2016
Beds
22
Ownership / control type
Hospital district or authority
Most recent change of ownership
Oct 1, 2004 (1 total)
Organization structure
OtherProprietary
Enrollment address
535 S Freeborn St
Marion, KS 66861-1256

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
St Luke Hospital & Living CenterCCN 171356 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Hospital District No 1 Marion Co6 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.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Ryan Edmundson Individual Corporate OfficerMember Jun 24, 2025
Travis L Parmley Individual Corporate OfficerMember Jun 24, 2025
Roger Hannaford Individual Corporate DirectorOfficer Jun 27, 2023
Alex Haines Individual W-2 Managing EmployeeCeo Aug 30, 2023
Bev Reid Individual W-2 Managing EmployeeCfo Sep 30, 2015
Kathy Brenzikofer Individual Corporate DirectorMember Oct 30, 2023
Daniel Holub Individual Corporate DirectorSecretary Jun 23, 2020
Chris Mercer Individual Corporate DirectorMember Jun 22, 2021
Linda K Carlson Individual Corporate OfficerChairman Jun 25, 2023

Practitioners & affiliated clinicians

Practitioners 24

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 24

Affiliated clinicians 62

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

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1326087966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 S FREEBORN ST",
            "city": "MARION",
            "state": "KS",
            "postal_code": "668611256",
            "telephone_number": "620-382-2177",
            "fax_number": "620-382-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 S FREEBORN ST",
            "city": "MARION",
            "state": "KS",
            "postal_code": "668611256",
            "telephone_number": "620-382-2177",
            "fax_number": "620-382-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL DISTRICT NO 1 MARION CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "620-382-2177"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H057003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100330020A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Luke Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Luke Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, KS

Sources for this page

Verify at the official NPI Registry.