NPIMap

Organization Active NPI

Phillips County Hospital

  • Critical Access Hospital
  • Phillipsburg, KS
National Provider Identifier
1639268246
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H-074-001 Issued in KS
Legal business name
PHILLIPS COUNTY HOSPITAL
Practice address
1150 State St
Phillipsburg, KS 67661-1743
Phone
(785) 543-5226
Fax
(785) 543-6272
NPI assigned
Oct 12, 2006
Last updated
Dec 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Tara Overmiller
Title
Coo
Phone
(785) 540-4925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H-074-001 KS Primary

Addresses

Primary practice location

1150 State St
Phillipsburg, KS 67661-1743

Mailing address

PO Box 607
Phillipsburg, KS 67661-0607
Phone (785) 543-5226

Other identifiers 2

IdentifierTypeStateIssuer
000168OtherKSHOSPITAL BLUE CROSS
100409050AMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150312000590 KS Part A Provider - Critical Access Hospital 7012231251 Receives reassigned benefits from 25 practitioners
1 other NPI on this enrollment
Practice locations: Phillipsburg, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639268246. Details of each certification follow.

Hospital certification: CCN 171353

Legal name
PHILLIPS COUNTY HOSPITAL
Doing business as
PHILLIPS COUNTY HEALTH SYSTEMS
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Apr 1, 2003
Last certification
Sep 28, 2016
Beds
25
Ownership / control type
Local
Most recent change of ownership
Apr 1, 2015 (2 total)
Organization structure
GovernmentNon-profit
Enrollment address
1150 State St
Phillipsburg, KS 67661-1743

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).

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Phillips County HospitalCCN 171353 · All quality measures
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
Tax ID family
Phillips County Medical C7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Brittani Conrad Individual W-2 Managing EmployeeCredentialing Coordinator Jan 1, 2026
Mandy Goble Individual W-2 Managing EmployeeBilling Manager Jan 1, 2025
Phillips County Hospital Organization, Phillipsburg, KS Non-profit Other Apr 1, 2015
Tara Overmiller Individual Corporate OfficerCeo Dec 1, 2022
Corporate DirectorCeo Dec 1, 2022
W-2 Managing EmployeeAd; Dec 1, 2022

Owners & managing parties with NPI records 3

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

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Phillips County Health SystemsPhillipsburg, KS, CCN 17Z353 Hospital Other Apr 1, 2015
Phillips County Medical ClinicPhillipsburg, KS, CCN 178502 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Apr 1, 2015

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 25

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 25

Affiliated clinicians 62

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

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1639268246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 607",
            "city": "PHILLIPSBURG",
            "state": "KS",
            "postal_code": "676610607",
            "telephone_number": "785-543-5226",
            "fax_number": "785-543-6272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 STATE ST",
            "city": "PHILLIPSBURG",
            "state": "KS",
            "postal_code": "676611743",
            "telephone_number": "785-543-5226",
            "fax_number": "785-543-6272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "OVERMILLER",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "785-540-4925"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H-074-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL BLUE CROSS",
            "identifier": "000168",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100409050A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, KS

Sources for this page

Verify at the official NPI Registry.