NPIMap

Organization Active NPI

Decatur Health Systems Inc

Doing business as Decatur Health

  • Critical Access Hospital
  • Oberlin, KS
National Provider Identifier
1619973468
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
DECATUR HEALTH SYSTEMS INC
Doing business as
Decatur Health
Practice address
810 W Columbia St
Oberlin, KS 67749-2450
Phone
(785) 475-2208
Fax
(785) 475-2453
NPI assigned
Jun 27, 2005
Last updated
Dec 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Ms. Julie Smith
Title
Ceo
Phone
(785) 475-2208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

810 W Columbia St
Oberlin, KS 67749-2450

Mailing address

PO Box 268
Oberlin, KS 67749-0268
Phone (785) 475-2208

Other identifiers 3

IdentifierTypeStateIssuer
000123OtherKSBCBS INSTITUTIONAL
100107010AMedicaidKS
100413880AMedicaidKS

Other names 1

  • DECATUR HEALTH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000474 KS Part A Provider - Critical Access Hospital 8022928225 Receives reassigned benefits from 24 practitioners
Practice locations: Oberlin, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619973468. Details of each certification follow.

Hospital certification: CCN 171352

Legal name
DECATUR HEALTH SYSTEMS INC
Doing business as
DECATUR HEALTH
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 3, 2003
Last certification
Feb 21, 2019
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 10, 2002 in KS
Enrollment address
810 W Columbia St
Oberlin, KS 67749-2450

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
Decatur HealthCCN 171352 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Decatur Health Systems Inc4 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 8

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

NameRoleSinceShare
Julie Smith Individual Corporate OfficerCeo May 29, 2022
W-2 Managing EmployeeCeo May 29, 2022
Operational/Managerial ControlCeo May 29, 2022
Regan Nicole May Individual Corporate Officer Jan 27, 2025
Corporate Director Jan 1, 2023
Jan Badsky Individual Corporate Officer Mar 30, 2017
Corporate Director Mar 18, 2015
Chad Meyer Individual W-2 Managing EmployeeCfo Apr 13, 2020
Operational/Managerial ControlCfo Apr 13, 2020
Audry Soderlund Individual W-2 Managing EmployeeBusiness Office Manager Mar 13, 2020
Operational/Managerial ControlBusiness Office Manager Mar 13, 2020
Tyler Roe Individual Corporate Officer Jan 16, 2023
Corporate Director Sep 20, 2021
Craig D Bartruff Individual W-2 Managing EmployeeChief of Staff Feb 21, 2017
Operational/Managerial ControlChief of Staff Feb 21, 2017
Cynthia a Haynes Individual Corporate Director Jan 1, 2025

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 30

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 30

Affiliated clinicians 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1619973468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "OBERLIN",
            "state": "KS",
            "postal_code": "677490268",
            "telephone_number": "785-475-2208",
            "fax_number": "785-475-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W COLUMBIA ST",
            "city": "OBERLIN",
            "state": "KS",
            "postal_code": "677492450",
            "telephone_number": "785-475-2208",
            "fax_number": "785-475-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR HEALTH SYSTEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-27",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-475-2208",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INSTITUTIONAL",
            "identifier": "000123",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100107010A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100413880A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DECATUR HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oberlin, KS

Sources for this page

Verify at the official NPI Registry.