NPIMap

Organization Active NPI

Saint Luke's Hospital of Allen County, Inc

Doing business as Allen County Regional Hospital

  • Critical Access Hospital
  • Iola, KS
National Provider Identifier
1639185457
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
SAINT LUKE'S HOSPITAL OF ALLEN COUNTY, INC
Doing business as
Allen County Regional Hospital
Practice address
3066 N Kentucky St
Iola, KS 66749-1951
Phone
(620) 365-1000
Fax
(620) 365-1032
NPI assigned
Aug 1, 2006
Last updated
Nov 25, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SAINT LUKE'S HEALTH SYSTEM INC.As 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
Erin Parde
Title
Cfo
Phone
(816) 880-5277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X Primary

Addresses

Primary practice location

3066 N Kentucky St
Iola, KS 66749-1951

Mailing address

3066 N Kentucky St
Iola, KS 66749-1951
Phone (620) 365-1000

Other identifiers 4

IdentifierTypeStateIssuer
110916OtherBLUE CROSS PRO FEE
000155OtherKSBLUE CROSS
010780807MedicaidMO
100457200AMedicaidKS

Other names 1

  • ALLEN COUNTY REGIONAL HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200707001214 KS Part A Provider - Critical Access Hospital 5496178691 Receives reassigned benefits from 57 practitioners
Practice locations: Iola, KS
O20200805001823 KS Part B Supplier - Clinic/Group Practice 5496178691 Receives reassigned benefits from 54 practitioners
3 other NPIs on this enrollment
Practice locations: Fort Scott, KS; Humboldt, KS; Iola, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639185457. Details of each certification follow.

Hospital certification: CCN 171373

Legal name
SAINT LUKES HOSPITAL OF ALLEN COUNTY INC
Doing business as
ALLEN COUNTY REGIONAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 19, 2004
Last certification
May 23, 2023
Beds
25
Ownership / control type
Local
Most recent change of ownership
Jul 1, 2013 (1 total)
Organization structure
CorporationNon-profit
Incorporated
Sep 6, 2019 in KS
Enrollment address
3066 North Kentucky Street
Iola, KS 66749-1951
Other Hospital Practice 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).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Allen County Regional HospitalCCN 171373 · All quality measures
Overall star rating
4 of 5
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Saint Luke's Health System Inc

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3066 N Kentucky St
Iola, KS 66749
Phone (620) 365-1000

501 N State St
Iola, KS 66749
Phone (620) 365-2120

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
Mary Heard Individual Corporate DirectorBoard Member Jul 1, 2020
John Brocker Individual Corporate DirectorBoard Member Jul 1, 2020
Darren Bass Individual Corporate OfficerCeo Sep 1, 2023
Operational/Managerial ControlCeo Sep 1, 2023
Shelby L Frigon Individual Corporate DirectorBoard Member Jul 1, 2020
Saint Lukes Health System Inc Organization, Kansas City, MO Corporation, Non-profit 5% Or Greater Direct Ownership Interest Sep 16, 2019 100%
Amy M Nachtigal Individual Corporate DirectorVice President, Finance Jul 15, 2025
Operational/Managerial ControlVice President Jul 15, 2025
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
Terry Sparks Individual Corporate DirectorBoard Member Jul 1, 2020
Julie Quirin Individual Corporate OfficerSLHS President Jan 1, 2024
Corporate DirectorBoard Member Jul 1, 2020
Allan Weber Individual Corporate DirectorBoard Member Jul 1, 2020

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 74

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 74

Affiliated clinicians 93

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

View all 93

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1639185457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3066 N KENTUCKY ST",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667491951",
            "telephone_number": "620-365-1000",
            "fax_number": "620-365-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3066 N KENTUCKY ST",
            "city": "IOLA",
            "state": "KS",
            "postal_code": "667491951",
            "telephone_number": "620-365-1000",
            "fax_number": "620-365-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUKE'S HOSPITAL OF ALLEN COUNTY, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT LUKE'S HEALTH SYSTEM INC.",
        "enumeration_date": "2006-08-01",
        "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"
    },
    "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": "BLUE CROSS PRO FEE",
            "identifier": "110916",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000155",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010780807",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100457200A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLEN COUNTY REGIONAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ALLEN COUNTY REGIONAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iola, KS

Sources for this page

Verify at the official NPI Registry.