NPIMap

Organization Active NPI

Nemaha Valley Community Hospital

  • Critical Access Hospital
  • Seneca, KS
National Provider Identifier
1669470712
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H066001 Issued in KS
Legal business name
NEMAHA VALLEY COMMUNITY HOSPITAL
Practice address
1600 Community Dr
Seneca, KS 66538-9739
Phone
(785) 336-6181
Fax
(785) 336-3052
NPI assigned
Jul 12, 2005
Last updated
Dec 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Authorized official

Name
Mrs. Kiley Floyd
Title
Ceo
Phone
(785) 336-6181

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H066001 KS Primary

Addresses

Primary practice location

1600 Community Dr
Seneca, KS 66538-9739

Mailing address

1600 Community Dr
Seneca, KS 66538-9739
Phone (785) 336-6181

Other identifiers 2

IdentifierTypeStateIssuer
000035OtherKSBCBS OF KS
100099360AMedicaidKS

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050228000745 KS Part B Supplier - Clinic/Group Practice 2668383472 Receives reassigned benefits from 37 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Axtell, KS; Seneca, KS
O20061104000396 KS Part A Provider - Critical Access Hospital 2668383472 Receives reassigned benefits from 24 practitioners
Practice locations: Seneca, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669470712. Details of each certification follow.

Hospital certification: CCN 171315

Legal name
NEMAHA VALLEY COMMUNITY HOSPITAL
Doing business as
NEMAHA VALLEY COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Aug 26, 1997
Last certification
Nov 30, 2017
Beds
22
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Nov 14, 1969 in KS
Enrollment address
1600 Community Dr
Seneca, KS 66538-9739

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
Nemaha Valley Community HospitalCCN 171315 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Edward L Mohney Individual Corporate DirectorMember Jul 1, 2011
Leah Hermesch Individual Corporate Director Jul 1, 2019
Lynda Cross Individual W-2 Managing EmployeeDirector of Nurses Apr 2, 2014
Jarod D Snyder Individual W-2 Managing EmployeeChief of Staff Jul 1, 2019
Nemaha Valley Community Hospital Organization, Seneca, KS Non-profit Operational/Managerial Control Apr 2, 2014 100%
James J Lueger Individual W-2 Managing Employee Jul 1, 2019
Kris Enneking Individual Corporate DirectorSecretary Jul 1, 2019
Kiley a Floyd Individual Corporate OfficerCeo Jun 1, 2016 100%
Corporate DirectorCeo Sep 1, 2005
W-2 Managing EmployeeCeo Jun 1, 2016 100%
Mary Haverkamp Individual Corporate Director Jul 1, 2019
Lori Huerter Individual Corporate DirectorOffice Manager Sep 1, 2005
Katie Nordhus Individual Corporate Director Jul 1, 2019
TJ Haverkamp Individual Corporate Director Jul 1, 2019

Owners & managing parties with NPI records 4

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
Nemaha Valley Community HospitalSeneca, KS, CCN 17Z315 Hospital Operational/Managerial Control (100%) Apr 2, 2014
Seneca Family PracticeSeneca, KS, CCN 178507 Rural health clinic Operational/Managerial Control Dec 18, 2014

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 2

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

Practitioners & affiliated clinicians

Practitioners 33

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 33

Affiliated clinicians 92

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

View all 92

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1669470712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 COMMUNITY DR",
            "city": "SENECA",
            "state": "KS",
            "postal_code": "665389739",
            "telephone_number": "785-336-6181",
            "fax_number": "785-336-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 COMMUNITY DR",
            "city": "SENECA",
            "state": "KS",
            "postal_code": "665389739",
            "telephone_number": "785-336-6181",
            "fax_number": "785-336-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEMAHA VALLEY COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "FLOYD",
        "authorized_official_first_name": "KILEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-336-6181",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H066001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "000035",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099360A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seneca, KS

Sources for this page

Verify at the official NPI Registry.