NPIMap

Organization Active NPI

Sumner County Hospital District No 1

Doing business as Caldwell Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Caldwell, KS
National Provider Identifier
1689707275
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
H-096-001 Issued in KS
Legal business name
SUMNER COUNTY HOSPITAL DISTRICT NO 1
Doing business as
Caldwell Regional Medical Center
Practice address
761 W 175TH St S
Caldwell, KS 67022-8301
Phone
(620) 845-6492
Fax
(620) 845-6475
NPI assigned
Mar 13, 2007
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Chris Graham
Title
Ceo
Phone
(620) 845-6492

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X H-096-001 KS Primary
Critical Access Hospital 282NC0060X H096001 KS

Addresses

Primary practice location

761 W 175TH St S
Caldwell, KS 67022-8301

Mailing address

761 W 175TH St S
Caldwell, KS 67022-8301
Phone (620) 845-6492

Other names 1

  • Caldwell Regional Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070702000121 KS Part A Provider - Critical Access Hospital 6103925268 Practice locations: Caldwell, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1689707275. Details of each certification follow.

Hospital certification: CCN 17Z329

Legal name
SUMNER COUNTY HOSPITAL DISTRICT NO 1
Doing business as
CALDWELL REGIONAL MEDICAL CENTER
Organization structure
OtherNon-profit
Enrollment address
761 W 175TH St S
Caldwell, KS 67022-8301
Hospital Swing-Bed Unit

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).

National Provider Directory

National Provider Directory
Tax ID family
Sumner County Hosp 12 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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
Brian James Barta Individual Corporate OfficerCfo Sep 19, 2025
W-2 Managing EmployeeCfo Sep 19, 2025
Stacy Boone Individual Corporate DirectorBoard of Directors May 22, 2024
Joel Hudson Individual Corporate DirectorBoard of Directors Feb 26, 2020
Pamela Lungren Individual Corporate Officer Sep 25, 2019
Kelly Sandell Individual Corporate Director May 22, 2024
Jeffrey Janzen Individual Corporate Director May 29, 2025
Misty Duncan Individual W-2 Managing EmployeeOperations Manager Sep 30, 2025
Clifton Risley Individual Corporate DirectorBoard of Directors Oct 1, 2019
Chris Graham Individual Corporate Officer Jul 29, 2024
W-2 Managing Employee Jul 29, 2024
Gregory Conrady Individual Corporate Officer May 27, 2026
Lieren Hunt Individual Corporate Officer May 27, 2026
Tyann Orton Individual Corporate Director May 29, 2025

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Caldwell Family ClinicCaldwell, KS, CCN 178644 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2022

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 6

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.

Affiliated clinicians 1

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": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1689707275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 W 175TH ST S",
            "city": "CALDWELL",
            "state": "KS",
            "postal_code": "670228301",
            "telephone_number": "620-845-6492",
            "fax_number": "620-845-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 W 175TH ST S",
            "city": "CALDWELL",
            "state": "KS",
            "postal_code": "670228301",
            "telephone_number": "620-845-6492",
            "fax_number": "620-845-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMNER COUNTY HOSPITAL DISTRICT NO 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-845-6492"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "KS",
            "license": "H-096-001",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H096001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caldwell Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caldwell, KS

Sources for this page

Verify at the official NPI Registry.