NPIMap

Organization Active NPI

Great Plains of Ellinwood Inc.

Doing business as Ellinwood District Hospital

  • Critical Access Hospital
  • Ellinwood, KS
National Provider Identifier
1578676409
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H005001 Issued in KS
Legal business name
GREAT PLAINS OF ELLINWOOD INC.
Doing business as
Ellinwood District Hospital
Practice address
300 N Park Ave
Ellinwood, KS 67526-1452
Phone
(620) 564-2548
Fax
(620) 564-2491
NPI assigned
Aug 16, 2006
Last updated
Jul 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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

Authorized official

Name
Mr. Kile Magner
Title
Chief Executive Officer
Phone
(620) 564-2548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H005001 KS Primary

Addresses

Primary practice location

300 N Park Ave
Ellinwood, KS 67526-1452

Mailing address

300 N Park Ave
Ellinwood, KS 67526-1452
Phone (620) 564-2548

Other identifiers 3

IdentifierTypeStateIssuer
00203OtherKSBLUE CROSS
100410070AMedicaidKS
110746OtherKSBCBS MD CLAIMS

Other names 1

  • Ellinwood District Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100830000907 KS Part A Provider - Critical Access Hospital 5092627539 Receives reassigned benefits from 17 practitioners
Practice locations: Ellinwood, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1578676409. Details of each certification follow.

Hospital certification: CCN 171301

Legal name
GREAT PLAINS OF ELLINWOOD INC
Doing business as
ELLINWOOD DISTRICT HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 1, 1994
Last certification
Mar 24, 2017
Beds
24
Ownership / control type
Hospital district or authority
Most recent change of ownership
Jan 1, 2002 (1 total)
Organization structure
CorporationNon-profit
Enrollment address
300 N Park Ave
Ellinwood, KS 67526-1452
Main/Primary Hospital Location

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).

Care Compare: Hospital

Medicare Care Compare
Listed as
Ellinwood District HospitalCCN 171301 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Great Plains of Ellinwo2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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
John Terrill Individual Corporate DirectorBoard Member - 2ND VP Sep 18, 2007 5%
Great Plains Health Alliance Inc Organization, Wichita, KS Chain home office Operational/Managerial Control Apr 1, 2013 100%
Steve L Carlson Individual Corporate DirectorBoard Member-Treasurer May 24, 1988 5%
Barbara a Brown Applegate Individual Corporate DirectorBoard Member Sep 20, 2011 5%
Arthur G Henrickson Individual Corporate DirectorBoard Member Jan 1, 2019 5%
Rebecca Burns Individual W-2 Managing EmployeeHealth Info. MGMT. Director Jul 1, 2010
Summer Zink Individual Corporate OfficerChief Financial Officer Jul 2, 2016
Kile Magner Individual Corporate OfficerAdministrator/Ceo Mar 23, 2015
Curt Colson Individual Corporate OfficerVP Regional Operations Jan 2, 2015 5%

Owners & managing parties with NPI records 1

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

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

Practitioners 18

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 18

Affiliated clinicians 41

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1578676409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N PARK AVE",
            "city": "ELLINWOOD",
            "state": "KS",
            "postal_code": "675261452",
            "telephone_number": "620-564-2548",
            "fax_number": "620-564-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N PARK AVE",
            "city": "ELLINWOOD",
            "state": "KS",
            "postal_code": "675261452",
            "telephone_number": "620-564-2548",
            "fax_number": "620-564-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS OF ELLINWOOD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "MAGNER",
        "authorized_official_first_name": "KILE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "620-564-2548",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H005001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00203",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100410070A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MD CLAIMS",
            "identifier": "110746",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellinwood District Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellinwood, KS

Sources for this page

Verify at the official NPI Registry.