Organization Active NPI

Morris County Hospital

  • Public Health or Welfare Agency
  • Council Grove, KS
National Provider Identifier
1689681256
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
MORRIS COUNTY HOSPITAL
Practice address
221 Hockaday St
Council Grove, KS 66846-1830
Phone
(620) 767-5175
Fax
(620) 767-6880
NPI assigned
Aug 3, 2006
Last updated
Jul 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Dr. James H Reagan Jr Jr., PHD
Title
Ceo
Phone
(620) 767-6811

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

221 Hockaday St
Council Grove, KS 66846-1830

Mailing address

221 Hockaday Street
Council Grove, KS 66846
Phone (620) 767-5175

Other identifiers 3

IdentifierTypeStateIssuer
100020480CMedicaidKS
100020480AMedicaidKS
100275800AMedicaidKS

Other names 1

  • dba Morris County Public Health Deparment Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120723000051 KS Part B Supplier - Mass Immunization (Roster Biller Only) 8426096504 Practice locations: Council Grove, KS

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Morris County Hospital10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
MCH Clinic Chase CountyCottonwood Falls, KS, CCN 178585 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2015
MCH Clinic White CityWhite City, KS, CCN 178626 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)
Aug 12, 2019
Aug 12, 2019

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1689681256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 HOCKADAY STREET",
            "city": "COUNCIL GROVE",
            "state": "KS",
            "postal_code": "66846",
            "telephone_number": "620-767-5175",
            "fax_number": "620-767-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 HOCKADAY ST",
            "city": "COUNCIL GROVE",
            "state": "KS",
            "postal_code": "668461830",
            "telephone_number": "620-767-5175",
            "fax_number": "620-767-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-03",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "REAGAN JR",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-767-6811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100020480C",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100020480A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100275800A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Morris County Public Health Deparment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Council Grove, KS

Sources for this page

Verify at the official NPI Registry.