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Organization Active NPI

Osborne County Memorial Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Osborne, KS
National Provider Identifier
1366599342
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
OSBORNE COUNTY MEMORIAL HOSPITAL
Practice address
237 W Harrison St
Osborne, KS 67473-1500
Phone
(785) 346-2121
Fax
(785) 346-5498
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Marianna Harris
Title
Ceo
Phone
(785) 346-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

237 W Harrison St
Osborne, KS 67473-1500

Mailing address

PO Box 70
Osborne, KS 67473-0070
Phone (785) 346-2121

Other identifiers 1

IdentifierTypeStateIssuer
001633OtherKSBLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070226000735 KS Part A Provider - Critical Access Hospital 7517877848 Practice locations: Osborne, KS

Hospital certification: CCN 17Z364

Legal name
OSBORNE COUNTY MEMORIAL HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
237 W Harrison St
Osborne, KS 67473-1500
Hospital Swing-Bed Unit

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).

National Provider Directory

National Provider Directory
Tax ID family
Barbara a Brown DO7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
County of Osborne Organization, Osborne, KS Operational/Managerial Control Aug 19, 1966
John Girard Individual Corporate OfficerBoar D Member Feb 1, 2017 100%
Linda Murphy Individual W-2 Managing Employee Dec 19, 2002
Gregory Mick Individual Corporate OfficerBoard Member Jul 1, 2016 100%
Raymond Troy Schaefer Individual OtherCommissioner Jan 1, 2023
Doris a Brown Individual W-2 Managing EmployeeCeo Nov 1, 2022 100%
Janel R Burch Individual Corporate OfficerBoard Member Mar 1, 2017 100%

Owners & managing parties with NPI records 1

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Goad Medical ClinicOsborne, KS, CCN 178569 Rural health clinic Other (100%) Jul 1, 1994

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1366599342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 70",
            "city": "OSBORNE",
            "state": "KS",
            "postal_code": "674730070",
            "telephone_number": "785-346-2121",
            "fax_number": "785-346-5498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 W HARRISON ST",
            "city": "OSBORNE",
            "state": "KS",
            "postal_code": "674731500",
            "telephone_number": "785-346-2121",
            "fax_number": "785-346-5498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSBORNE COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MARIANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-346-2121"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "001633",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osborne, KS

Sources for this page

Verify at the official NPI Registry.