NPIMap

Organization Active NPI

Scott County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Scott City, KS
National Provider Identifier
1649201138
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
H086001 Issued in KS
Legal business name
SCOTT COUNTY HOSPITAL
Practice address
201 Albert Ave
Scott City, KS 67871-6117
Phone
(620) 872-5811
Fax
(620) 872-7193
NPI assigned
Jul 5, 2006
Last updated
Aug 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Vicki Carson
Title
Ceo
Phone
(620) 872-5811

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X
Medicare Defined Swing Bed Hospital Unit 275N00000X H086001 KS Primary

Addresses

Primary practice location

201 Albert Ave
Scott City, KS 67871-6117

Mailing address

201 Albert Ave
Scott City, KS 67871-6117
Phone (620) 872-5811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180115000907 KS Part A Provider - Critical Access Hospital 5991773103 Practice locations: Scott City, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649201138. Details of each certification follow.

Hospital certification: CCN 17Z372

Legal name
SCOTT COUNTY HOSPITAL
Organization structure
CorporationNon-profit
Enrollment address
201 Albert Ave
Scott City, KS 67871-6117
Other Hospital Practice Location

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).

National Provider Directory

National Provider Directory
Tax ID family
Scott County Hosp Lab5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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
Charles Welch Individual Corporate OfficerCeo Apr 1, 2025
Corporate DirectorCeo Apr 1, 2025
W-2 Managing Employee Apr 1, 2025
Victoria Carson Individual Corporate OfficerChief Practice Management Office Jan 17, 2025
Corporate DirectorChief Practice Management Office Jan 17, 2025
W-2 Managing EmployeeChief Practice Management Office Jan 17, 2025
Suzanne Beaver Individual Corporate OfficerBoard Member Jul 1, 2022
John D Fairleigh Individual Corporate OfficerBoard Member Jul 1, 2024
Aaron Lee Kuehn Individual Corporate OfficerCfo Feb 1, 2026
Corporate DirectorCfo Feb 1, 2026
W-2 Managing EmployeeAd; Feb 1, 2026
Dwight Koehn Individual Corporate OfficerBoard Member Jul 1, 2022
Thomas Shirley Individual Corporate OfficerBoard Menber Jul 1, 2023
Warren Harkness Individual Corporate OfficerBoard Menber Jul 1, 2023

Practitioners & affiliated clinicians

Affiliated clinicians 8

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

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1649201138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ALBERT AVE",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "678716117",
            "telephone_number": "620-872-5811",
            "fax_number": "620-872-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 ALBERT AVE",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "678716117",
            "telephone_number": "620-872-5811",
            "fax_number": "620-872-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-872-5811"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "KS",
            "license": "H086001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott City, KS

Sources for this page

Verify at the official NPI Registry.