NPIMap

Organization Active NPI

Ashland District Hospital

Doing business as Ashland Health Center

  • Medicare Defined Swing Bed Hospital Unit
  • Ashland, KS
National Provider Identifier
1568557262
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
H013001 Issued in KS
Legal business name
ASHLAND DISTRICT HOSPITAL
Doing business as
Ashland Health Center
Practice address
625 Kentucky St
Ashland, KS 67831-3199
Phone
(620) 635-2241
Fax
(620) 635-2229
NPI assigned
Oct 4, 2006
Last updated
Mar 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Sandrea Wright
Title
Ceo/Administration
Phone
(620) 635-2241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X H013001 KS Primary

Addresses

Primary practice location

625 Kentucky St
Ashland, KS 67831-3199

Mailing address

PO Box 188
Ashland, KS 67831-0188
Phone (620) 635-2241

Other identifiers 1

IdentifierTypeStateIssuer
100098770AMedicaidKS

Other names 1

  • Ashland Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070227000373 KS Part A Provider - Critical Access Hospital 6800849324 Practice locations: Ashland, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1568557262. Details of each certification follow.

Hospital certification: CCN 17Z304

Legal name
ASHLAND DISTRICT HOSPITAL
Doing business as
ASHLAND HEALTH CENTER
Organization structure
OtherNon-profit
Enrollment address
625 Kentucky St
PO Box 188
Ashland, KS 67831-0188
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Ashland District Hosp-N4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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
Sandra Moore Individual Corporate OfficerCfo Nov 1, 2021
W-2 Managing EmployeeCfo Feb 16, 2020
Steve L Elmore Individual W-2 Managing Employee Oct 19, 2011
Operational/Managerial ControlBoard of Trustees/Member Jun 28, 2011
Dustin C McPhail Individual Corporate OfficerBoard Member Jan 1, 2018
Jessie Luckie Individual Corporate OfficerChairman Jan 1, 2018
Great Plains Health Alliance Inc Organization, Phillipsburg, KS Operational/Managerial Control Aug 1, 1989
Kim Hazen Individual Other Jun 1, 2013
Jannica Null Individual Corporate OfficerSecretary Jan 1, 2018
Chance Wilkinson Individual Corporate OfficerBoard Member Jan 1, 2022
Sandrea D Wright Individual Corporate OfficerCeo Nov 1, 2021
W-2 Managing EmployeeCeo Jul 5, 2016

Facilities with the same owner 29

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

View all 29

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1568557262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "ASHLAND",
            "state": "KS",
            "postal_code": "678310188",
            "telephone_number": "620-635-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 KENTUCKY ST",
            "city": "ASHLAND",
            "state": "KS",
            "postal_code": "678313199",
            "telephone_number": "620-635-2241",
            "fax_number": "620-635-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLAND DISTRICT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "SANDREA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATION",
        "authorized_official_telephone_number": "620-635-2241"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "KS",
            "license": "H013001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098770A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashland Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, KS

Sources for this page

Verify at the official NPI Registry.