Commonspirit Kansas, Inc.

Organization Active NPI Family Medicine Physician · Garden City, KS

NPI 1639882152 · NPPES record last updated Jun 5, 2025

Key facts

NPI
1639882152
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
COMMONSPIRIT KANSAS, INC.
Practice address
311 E Spruce St
Garden City, KS 67846-5614
Phone
(620) 275-3780
Fax
(620) 271-3114
NPI assigned
Dec 29, 2022
Organization subpart
No

Authorized official

Name
Angela Jo Skinner
Title
Administrator
Phone
(720) 667-7283

Other NPIs on the same Medicare enrollment 26

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

View all 26

Corporate family (same tax ID) 26

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

View all 26

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2191166Commonspirit Primary Care Siena
311 E Spruce St, Garden City, KS 67846
Certificate of waiverJul 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20050302000707 KS Part B Supplier - Clinic/Group Practice 4789595844 Receives reassigned benefits from 87 practitioners
34 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cimarron, KS; Ulysses, KS; Liberal, KS; Garden City, KS; Dodge City, KS

National Provider Directory

Tax ID family
St Catherine Home HLTH (27 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

311 E Spruce St
Garden City, KS 67846-5614

Mailing address

PO Box 803929
Kansas City, MO 64180-3929
Phone (888) 347-3295

Other identifiers

IdentifierTypeStateIssuer
30003913010051MedicaidKS

Other names

  • St Catherine Hospital Former legal business name
  • CommonSpirit Primary Care Siena Other name
  • Primary Care Siena Other name
  • SCHC FAMILY PRACTICE Other name

Other providers in Garden City, KS

All providers in Garden City, KS · Family Medicine Physician in Kansas

Sources for this page

Verify at the official NPI Registry.