Decatur Health Systems Inc
Organization Active NPI Critical Access Hospital · Oberlin, KS
NPI 1619973468 · NPPES record last updated Dec 5, 2022
Key facts
- NPI
- 1619973468
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital 282NC0060X
- Legal business name
- DECATUR HEALTH SYSTEMS INC
- Practice address
- 810 W Columbia St
Oberlin, KS 67749-2450 - Phone
- (785) 475-2208
- Fax
- (785) 475-2453
- NPI assigned
- Jun 27, 2005
- Organization subpart
- No
Authorized official
- Name
- Ms. Julie Smith
- Title
- Ceo
- Phone
- (785) 475-2208
Owners & managing parties with NPI records 2
-
Craig David Bartruff, M.D.
-
Regan Nicole May, OD
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 3
Member organizations 1
Related certifications (CCN) 2
Practitioners 30
-
Debra L Anderson, DNP, FNP-C
-
Sarah Rose Castle, APRN
-
Craig David Bartruff, M.D.
-
John Mark Molstad, PA-C
-
Taylor Lynn Niermeier, PA-C
-
Julie Lynn Siefers, PA-C
-
Jason Lyle Hoke, DO
-
Jeffery W. McKinley, D.O.
-
Cooper L Nickel, M.D.
-
Emily Rebecca Zillinger, ARNP-FNP
-
Spencer Charles Anderson, PA-C
-
Daren L. Badura, MPA
-
Regina Rae Taylor, P.A.-C
-
David P. Demint Jr., CRNA
Affiliated clinicians 29
-
Debra L Anderson, DNP, FNP-C
-
Sarah Rose Castle, APRN
-
Jeffery W. McKinley, D.O.
-
John Mark Molstad, PA-C
-
Taylor Lynn Niermeier, PA-C
-
Julie Lynn Siefers, PA-C
-
Regina Rae Taylor, P.A.-C
-
Bradley Scott Wertz, CRNA
-
Emily Rebecca Zillinger, ARNP-FNP
-
Craig David Bartruff, M.D.
-
Ellen Branham, CRNP
-
Damon S Green, PA-C
-
Brooke Ashleigh Huxoll, P.A.
-
Chinyere N Obasi, MD
-
Whitney Dawn Schoenemann, APRN
Medicare Care Compare: Hospital
- Listed as
- Decatur Health
- Type
- Critical Access Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
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
- Corporation · Non-profit
- Incorporated
- Jan 10, 2002 in KS
- Enrollment address
- 810 W Columbia St
Oberlin, KS 67749-2450
All disclosed owners & managing parties 8
| Name | Role | Since | Share |
|---|---|---|---|
| Julie Smith |
Corporate Officer |
May 29, 2022 | |
| W-2 Managing Employee |
May 29, 2022 | ||
| Operational/Managerial Control |
May 29, 2022 | ||
| Regan Nicole May |
Corporate Officer | Jan 27, 2025 | |
| Corporate Director | Jan 1, 2023 | ||
| Jan Badsky |
Corporate Officer | Mar 30, 2017 | |
| Corporate Director | Mar 18, 2015 | ||
| Chad Meyer |
W-2 Managing Employee |
Apr 13, 2020 | |
| Operational/Managerial Control |
Apr 13, 2020 | ||
| Audry Soderlund |
W-2 Managing Employee |
Mar 13, 2020 | |
| Operational/Managerial Control |
Mar 13, 2020 | ||
| Tyler Roe |
Corporate Officer | Jan 16, 2023 | |
| Corporate Director | Sep 20, 2021 | ||
| Craig D Bartruff |
W-2 Managing Employee |
Feb 21, 2017 | |
| Operational/Managerial Control |
Feb 21, 2017 | ||
| Cynthia a Haynes |
Corporate Director | Jan 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061104000474 | KS | Part a Provider - Critical Access Hospital | 8022928225 |
Receives reassigned benefits from 24 practitioners Practice locations: Oberlin, KS |
National Provider Directory
- Tax ID family
- Decatur Health Systems Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital | 282NC0060X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000123 | Other | KS | BCBS INSTITUTIONAL |
| 100413880A | Medicaid | KS | |
| 100107010A | Medicaid | KS |
Other names
- DECATUR HEALTH
Other providers in Oberlin, KS
- Derek Michael Chambers
- County of Decatur
- County of Decatur
- Decatur Health Systems Inc
- Decatur Health Systems Inc
- Decatur Health Systems Inc
- Decatur Health Systems,Inc.
- Douglas M Fair, D.C., P.a.
- Kristina R Dreher
- Diane I. Frickey
All providers in Oberlin, KS · Critical Access Hospital in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2022. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.