NPIMap

Organization Active NPI

Edwards County Hospital and Healthcare Center

Doing business as Edwards County Medical Center

  • Rural Health Clinic/Center
  • Kinsley, KS
National Provider Identifier
1649372012
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
173495 Issued in KS
Legal business name
EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER
Doing business as
Edwards County Medical Center
Midway Clinic
Practice address
620 W 8TH St
Kinsley, KS 67547-2329
Phone
(620) 659-3621
Fax
(620) 659-3869
NPI assigned
Sep 5, 2006
Last updated
Aug 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Jimmie Hansel
Title
Chief Executive Officer
Phone
(620) 659-3621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X 173495 KS Primary

Addresses

Primary practice location

620 W 8TH St
Kinsley, KS 67547-2329

Mailing address

620 W 8TH St
Kinsley, KS 67547-2329
Phone (620) 659-3621

Other practice location 1

205 Hall St
Spearville, KS 67876-8553
Phone (620) 385-2963

Other practice location 2

604 W 8th St
Kinsley, KS 67547-2329
Phone (620) 659-2732

Other names 2

  • Edwards County Medical Center Doing business as
  • Midway Clinic Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mdowler@edcomed.com Direct
Direct Messaging Address mmawhirter@edcomed.com Direct

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030917000019 KS Part A Provider - Rural Health Clinic 2264343383 Practice locations: Kinsley, KS
O20040305000254 KS Part B Supplier - Clinic/Group Practice 2264343383 Receives reassigned benefits from 23 practitioners
5 other NPIs on this enrollment
Practice locations: Kinsley, KS; Spearville, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649372012. Details of each certification follow.

Rural health clinic certification: CCN 173495

Legal name
EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER
Doing business as
MIDWAY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 6, 2000
Last certification
Oct 1, 2014
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
604 W 8TH St
Kinsley, KS 67547-2329
Related CCNs
171317

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 5

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2322710Midway Clinic604 W 8TH St, Kinsley, KS 67547Certificate of waiverApr 24, 2027

National Provider Directory

National Provider Directory

Member of 1

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Edwards County Hospital and Healthcare Center Organization, Kinsley, KS Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 2018 100%
Michele Morris Individual W-2 Managing Employee Mar 1, 2024
Jimmie Hansel Individual W-2 Managing EmployeeCeo Jul 1, 2016

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 1

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

FacilityTypeRoleSince
Spearville Medical ClinicSpearville, KS, CCN 178629 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 4, 2019
Aug 24, 2015

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 26

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 26

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1649372012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W 8TH ST",
            "city": "KINSLEY",
            "state": "KS",
            "postal_code": "675472329",
            "telephone_number": "620-659-3621",
            "fax_number": "620-659-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W 8TH ST",
            "city": "KINSLEY",
            "state": "KS",
            "postal_code": "675472329",
            "telephone_number": "620-659-3621",
            "fax_number": "620-659-3869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Hall St",
            "address_purpose": "LOCATION",
            "city": "Spearville",
            "state": "KS",
            "postal_code": "678768553",
            "country_code": "US",
            "telephone_number": "620-385-2963",
            "fax_number": "620-385-2811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "604 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Kinsley",
            "state": "KS",
            "postal_code": "675472329",
            "country_code": "US",
            "telephone_number": "620-659-2732",
            "fax_number": "620-659-3850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "HANSEL",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "620-659-3621"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KS",
            "license": "173495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdowler@edcomed.com",
            "affiliation": "N",
            "endpointDescription": "RHC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "620 W 8th St",
            "city": "Kinsley",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675472329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmawhirter@edcomed.com",
            "affiliation": "N",
            "endpointDescription": "RHC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "620 W 8th St",
            "city": "Kinsley",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675472329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Edwards County Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midway Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midway Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kinsley, KS

Sources for this page

Verify at the official NPI Registry.