NPIMap

Organization Active NPI

Nemaha Valley Community Hospital

Doing business as Seneca Family Practice RHC

  • Rural Health Clinic/Center
  • Seneca, KS
National Provider Identifier
1336128644
Registry record updated Jun 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
NEMAHA VALLEY COMMUNITY HOSPITAL
Doing business as
Seneca Family Practice RHC
Practice address
1600 Community Dr
Seneca, KS 66538-9739
Phone
(785) 336-6107
Fax
(785) 336-0157
NPI assigned
Jan 13, 2006
Last updated
Jun 25, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2020

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

Authorized official

Name
Mrs. Kiley Floyd
Title
Ceo
Phone
(785) 336-6181

Specialties & licenses 1

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

Addresses

Primary practice location

1600 Community Dr
Seneca, KS 66538-9739

Mailing address

1600 Community Dr
Seneca, KS 66538-9739
Phone (785) 336-6107

Other identifiers 2

IdentifierTypeStateIssuer
100009590FMedicaidKS
110804OtherKSBCBS

Other names 1

  • Seneca Family Practice RHC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030724000022 KS Part A Provider - Rural Health Clinic 2668383472 Practice locations: Seneca, KS
O20050228000745 KS Part B Supplier - Clinic/Group Practice 2668383472 Receives reassigned benefits from 37 practitioners
4 other NPIs on this enrollment
Practice locations: Axtell, KS; Seneca, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1336128644. Details of each certification follow.

Rural health clinic certification: CCN 178507

Legal name
NEMAHA VALLEY COMMUNITY HOSPITAL
Doing business as
SENECA FAMILY PRACTICE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 1, 2002
Last certification
Jan 4, 2019
Ownership / control type
2A
Organization structure
CorporationNon-profit
Incorporated
Nov 14, 1969 in KS
Enrollment address
1600 Community Dr
Seneca, KS 66538-9739
Related CCNs
171315

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

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Edward L Mohney Individual Corporate DirectorBoard Member Jul 1, 2011
Leroy a Strathman Individual Corporate DirectorBoard Member Jul 1, 2011
Lynda Cross Individual W-2 Managing EmployeeDirector of Nurses Dec 30, 2014
Nemaha Valley Community Hospital Organization, Seneca, KS Non-profit Operational/Managerial Control Dec 18, 2014
Kathleen M Obrien Individual Corporate DirectorBoard Member Aug 1, 2008
Kiley a Floyd Individual Corporate DirectorCeo Jun 1, 2016
W-2 Managing EmployeeCeo Jun 1, 2016
James M Runnebaum Individual Corporate DirectorBoard Member Jul 1, 2010
Dennis R Henry Individual Corporate DirectorBoard Member Jul 1, 2011
Connie Ingwerson Individual W-2 Managing EmployeeCfo Feb 19, 2010
Frederick L Henry Individual Corporate DirectorBoard Member Jul 1, 2013
Judith M Deters Individual Corporate DirectorBoard Member Jul 1, 2009
Steve E Haverkamp Individual Corporate DirectorBoard Member Jul 1, 2010

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Nemaha Valley Community HospitalSeneca, KS, CCN 171315 Hospital Operational/Managerial Control (100%) Apr 2, 2014
Nemaha Valley Community HospitalSeneca, KS, CCN 17Z315 Hospital Operational/Managerial Control (100%) Apr 2, 2014

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 38

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 38

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1336128644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 COMMUNITY DR",
            "city": "SENECA",
            "state": "KS",
            "postal_code": "665389739",
            "telephone_number": "785-336-6107",
            "fax_number": "785-336-0157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COMMUNITY DR",
            "city": "SENECA",
            "state": "KS",
            "postal_code": "665389739",
            "telephone_number": "785-336-6107",
            "fax_number": "785-336-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEMAHA VALLEY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "KILEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-336-6181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100009590F",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "110804",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seneca Family Practice RHC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Seneca Family Practice RHC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seneca, KS

Sources for this page

Verify at the official NPI Registry.