Mercy Hospital Columbus
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Columbus, KS
NPI 1598091530 · NPPES record last updated Feb 17, 2021
Key facts
- NPI
- 1598091530
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- Legal business name
- MERCY HOSPITAL COLUMBUS
- Practice address
- 220 N Pennsylvania Ave
Columbus, KS 66725 - Phone
- (620) 429-2545
- NPI assigned
- Oct 27, 2009
- Organization subpart
- No
Authorized official
- Name
- Sherry Lynn Clouse Day
- Title
- VP Finance Mercy Cah
- Phone
- (417) 820-8439
Owners & managing parties with NPI records 1
-
Benjamen Howard Williams, M.D.
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 5
Related certifications (CCN) 1
Facilities with the same owner 114
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Hospital certification: CCN 17Z308
- Legal name
- MERCY HOSPITAL COLUMBUS
- Doing business as
- MERCY HOSPITAL COLUMBUS
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 220 N Pennsylvania Ave
Columbus, KS 66725-1110
All disclosed owners & managing parties 11
| Name | Role | Since | Share |
|---|---|---|---|
| Ken Jones |
Corporate Director | Feb 1, 2012 | |
| Jamie Wilke |
Corporate Officer |
Jul 1, 2024 | |
| Mercy Health Southwest Missouri Kansas Communities |
5% Or Greater Direct Ownership Interest | Nov 1, 2009 | 100% |
| Chris Green |
Corporate Director | Feb 1, 2012 | |
| Jeremy S Drinkwitz |
Corporate Officer |
Jul 26, 2019 | |
| Benjamen Williams |
Corporate Director | Jul 1, 2017 | |
| Don Kirk |
Corporate Director | Feb 1, 2012 | |
| Stacie Farnam |
W-2 Managing Employee |
Jan 1, 2021 | |
| Mercy Health |
5% Or Greater Indirect Ownership Interest | Nov 1, 2009 | 100% |
| Angella Saporito |
Corporate Director | Feb 1, 2016 | |
| W-2 Managing Employee |
Feb 1, 2016 | ||
| Sherry Clouse Day |
Corporate Officer |
Aug 14, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100111000622 | KS | Part a Provider - Critical Access Hospital | 4880735919 | Practice locations: Columbus, KS |
National Provider Directory
- Tax ID family
- Mercy Hospital Columbus
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Yes |
Addresses
Primary practice location
220 N Pennsylvania Ave
Columbus, KS 66725
Mailing address
645 Maryville Centre Dr FL 3
Saint Louis, MO 63141-5855
Other names
- Mercy Hospital Columbus
Other providers in Columbus, KS
- Medicalodges, Inc.
- Medicalodges, Inc.
- Mercy Clinic Joplin LLC
- Mercy Clinic Joplin LLC
- Mercy Hospital Columbus
- Mercy Hospital Columbus
- Mercy Hospital Columbus
- Mercy Hospital Joplin
- Mike Carpino Ford Mercury in
- Mnmch, Inc
All providers in Columbus, KS · Medicare Defined Swing Bed Hospital Unit in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.