NPIMap

Organization Active NPI

Saint Lukes Hospital of Garnett Inc

Doing business as Family Care Center

  • Rural Health Clinic/Center
  • Garnett, KS
National Provider Identifier
1598739948
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
H002001 Issued in KS
Legal business name
SAINT LUKES HOSPITAL OF GARNETT INC
Doing business as
Family Care Center
Practice address
536 W 4TH Ave
Garnett, KS 66032-1355
Phone
(785) 448-2674
NPI assigned
Feb 14, 2006
Last updated
Nov 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINT LUKES OF GARNETT INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Ms. Erin Parde
Title
Cfo
Phone
(816) 880-5277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X H002001 KS Primary

Addresses

Primary practice location

536 W 4TH Ave
Garnett, KS 66032-1355

Mailing address

PO Box 309
Garnett, KS 66032-0309
Phone (785) 448-2674

Other identifiers 1

IdentifierTypeStateIssuer
100294110CMedicaidKS

Other names 1

  • Family Care Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061026000431 KS Part A Provider - Rural Health Clinic 8729071691 Practice locations: Garnett, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598739948. Details of each certification follow.

Rural health clinic certification: CCN 173438

Legal name
SAINT LUKES HOSPITAL OF GARNETT INC
Doing business as
FAMILY CARE CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jan 16, 1996
Last certification
Jun 10, 2010
Ownership / control type
2B
Most recent change of ownership
Oct 1, 1997 (1 total)
Organization structure
OtherNon-profit
Enrollment address
536 W 4TH Ave
Garnett, KS 66032-1355
Related CCNs
171316

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).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0906315Family Care Center536 West Fourth Avenue, Garnett, KS 66032Certificate of waiverJul 31, 2027

National Provider Directory

National Provider Directory
Tax ID family
Saint Lukes Hospital Garnet9 organizations share this tax ID, including this one
Part of
Saint Lukes Hospital Garnet

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael Barnes Individual Corporate DirectorBoard Member Jan 1, 2023
Darren Bass Individual Corporate OfficerCeo Sep 1, 2023
Corporate DirectorPresident Jan 1, 2026
W-2 Managing Employee Sep 1, 2023
Operational/Managerial ControlCeo Sep 1, 2023
Damon Stone Individual Corporate DirectorBoard Member Jan 1, 2023
Mackenzie Alynne Peterson Individual Corporate DirectorBoard Member Jan 1, 2011
Saint Lukes Health System Inc Organization, Kansas City, MO Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 2006 100%
Amy M Nachtigal Individual Corporate DirectorVice President, Finance Jul 30, 2025
Operational/Managerial ControlVice President Jul 30, 2025
Damara L Harper Individual Corporate OfficerVice President Jan 1, 2026
Operational/Managerial ControlVice President Jan 1, 2026
BJC Health System Organization, Saint Louis, MO Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2024 100%
William P Patton Individual W-2 Managing EmployeeAd; Sep 9, 2024
Scott Hawig Individual Corporate OfficerVice President, Finance Jan 1, 2026
Operational/Managerial ControlVice President, Finance Jan 1, 2026
David R Lybarger Individual Corporate DirectorBoard Member Jan 1, 2009

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 33

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

View all 33

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1598739948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "GARNETT",
            "state": "KS",
            "postal_code": "660320309",
            "telephone_number": "785-448-2674",
            "fax_number": "785-448-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 W 4TH AVE",
            "city": "GARNETT",
            "state": "KS",
            "postal_code": "660321355",
            "telephone_number": "785-448-2674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUKES HOSPITAL OF GARNETT INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT LUKES OF GARNETT INC",
        "enumeration_date": "2006-02-14",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "PARDE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "816-880-5277",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KS",
            "license": "H002001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100294110C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garnett, KS

Sources for this page

Verify at the official NPI Registry.