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Hospital District No 1 Crawford County

Organization Active NPI Nurse Practitioner · Girard, KS

NPI 1508897182 · NPPES record last updated Aug 26, 2019

Key facts

NPI
1508897182
Entity type
Organization (NPI type 2)
Primary specialty
Nurse Practitioner 363L00000X
Legal business name
HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
Practice address
302 N Hospital Dr
Girard, KS 66743-2000
Phone
(620) 724-8291
Fax
(620) 724-6332
NPI assigned
Jul 5, 2006
Organization subpart
No

Authorized official

Name
Holly Koch
Title
Cfo
Phone
(620) 724-8291

Owned or controlled facilities with NPI records 5

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

Other NPIs on the same Medicare enrollment 4

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

Other NPIs with the same Medicare PAC ID 10

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

Corporate family (same tax ID) 18

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

Practitioners 54

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

View all 54

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Girard Medical Center
Girard, KS · CCN 17M376		 Hospital Operational/Managerial Control (100%) Jun 30, 2025
Girard Medical Center of Cherokee
Cherokee, KS · CCN 178520		 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2006
Girard Medical Center of Frontenac
Frontenac, KS · CCN 178532		 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2006
Girard Medical Center Health Clinic
Girard, KS · CCN 178552		 Rural health clinic Other (100%) Jan 1, 2016
Girard Medical Center of Arma
Arma, KS · CCN 178622		 Rural health clinic Operational/Managerial Control (100%) Sep 1, 2017

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040112000337 KS Part B Supplier - Clinic/Group Practice 3476464538 Receives reassigned benefits from 54 practitioners
4 other NPIs on this enrollment
Practice locations: Cherokee, KS; Pittsburg, KS; Girard, KS; Frontenac (Pittsburg), KS; Fort Scott, KS; Arma, KS

National Provider Directory

Tax ID family
James T Wilkins MD (19 organizations share this tax ID)

Locations

120 NW 400 Hwy
Cherokee, KS 66724
Phone (620) 457-8101

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207L00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X Yes
Certified Registered Nurse Anesthetist
Group: 193200000X MULTI-SPECIALTY GROUP		 367500000X

Addresses

Primary practice location

302 N Hospital Dr
Girard, KS 66743-2000

Mailing address

302 N Hospital Dr
Girard, KS 66743-2000
Phone (620) 724-8291

Other identifiers

IdentifierTypeStateIssuer
100004200BMedicaidKS

Other providers in Girard, KS

All providers in Girard, KS · Nurse Practitioner in Kansas

Sources for this page

Verify at the official NPI Registry.