NPIMap

Organization Active NPI

Mercy Kansas Communities Inc

  • Emergency Care Clinic/Center
  • Fort Scott, KS
National Provider Identifier
1558478016
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
H-006-001 Issued in KS
Legal business name
MERCY KANSAS COMMUNITIES INC
Practice address
401 Woodland Hills Blvd
Fort Scott, KS 66701-8797
Phone
(620) 223-2200
NPI assigned
Aug 23, 2006
Last updated
Mar 13, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY KANSAS COMMUNITIES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Shelly Hunter
Title
Cfo
Phone
(417) 625-2459

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X H-006-001 KS Primary
Certified Registered Nurse Anesthetist 367500000X H-006-001 KS

Addresses

Primary practice location

401 Woodland Hills Blvd
Fort Scott, KS 66701-8797

Mailing address

401 Woodland Hills Blvd
Fort Scott, KS 66701-8797
Phone (620) 223-2200

Other identifiers 2

IdentifierTypeStateIssuer
014036OtherKSBLUE CROSS, PC
100089300CMedicaidKS

Other names 1

  • MERCY HOSPITAL-FORT SCOTT Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1558478016. Details of each certification follow.

Hospital certification: CCN 170058

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MERCY HOSPITAL-FORT SCOTT
Certification status
Terminated Voluntary: merger or closure, Feb 1, 2019
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 20, 2014
Beds
46
Ownership / control type
Church
Facility address
401 Woodland Hills Blvd
Fort Scott, KS 66701

National Provider Directory

National Provider Directory
Tax ID family
Mercy Hospital of Kansas Inc18 organizations share this tax ID, including this one
Part of
Mercy Hospital of Kansas Inc

Other organizations with this tax ID 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1558478016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WOODLAND HILLS BLVD",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018797",
            "telephone_number": "620-223-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 WOODLAND HILLS BLVD",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018797",
            "telephone_number": "620-223-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY KANSAS COMMUNITIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY KANSAS COMMUNITIES INC",
        "enumeration_date": "2006-08-23",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "417-625-2459"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "KS",
            "license": "H-006-001",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "H-006-001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS, PC",
            "identifier": "014036",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100089300C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY HOSPITAL-FORT SCOTT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Scott, KS

Sources for this page

Verify at the official NPI Registry.