NPIMap

Organization Active NPI

Hospital District No 1 of Rice Co

  • Rural Health Clinic/Center
  • Sterling, KS
National Provider Identifier
1689973372
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
H080001 Issued in KS
Legal business name
HOSPITAL DISTRICT NO 1 OF RICE CO
Practice address
239 N Broadway Ave
Sterling, KS 67579-1916
Phone
(620) 278-2123
Fax
(620) 278-2712
NPI assigned
Mar 21, 2011
Organization subpart
Yes
Parent organization
HOSPITAL DISTRICT NO 1 OF RICE COAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Weston Tallman
Title
Ceo
Phone
(620) 257-5173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X H080001 KS Primary

Addresses

Primary practice location

239 N Broadway Ave
Sterling, KS 67579-1916

Mailing address

PO Box 828
Lyons, KS 67554-0828
Phone (620) 257-5173

Other identifiers 2

IdentifierTypeStateIssuer
30003942210006MedicaidKS
100099160AMedicaidKS

Other names 1

  • Sterling Medical Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031126000596 KS Part B Supplier - Clinic/Group Practice 0648175042 Receives reassigned benefits from 36 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lyons, KS; Sterling, KS
O20160727000572 KS Part A Provider - Rural Health Clinic 0648175042 Practice locations: Sterling, KS

Rural health clinic certification: CCN 178565

Legal name
HOSPITAL DISTRICT NO 1 OF RICE CO
Doing business as
STERLING MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Apr 29, 2011
Last certification
Sep 11, 2013
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Incorporated
May 1, 1959 in KS
Enrollment address
239 N Broadway Ave
Sterling, KS 67579-1916
Related CCNs
171330

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 3

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

National Provider Directory

National Provider Directory
Part of
Hospital District No 1 of Rice Co

Locations

1221 W Noble St
Lyons, KS 67554
Phone (620) 257-5124

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Linda Brunk Individual Corporate OfficerBoard Member Jan 1, 2017
Weston Tallman Individual Corporate OfficerCfo Jul 31, 2023
Corporate DirectorCfo Jul 31, 2023
W-2 Managing EmployeeCfo Jul 31, 2023
Gayla Schubert Individual Corporate Director Mar 15, 2021
Sheri L Bennett Individual Corporate Director Sep 15, 2008
Marcia Diasio Individual Corporate Director Mar 15, 2021
George M Stover Individual W-2 Managing Employee Mar 29, 2011
Terry L David Individual Corporate Director Apr 3, 2003

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Hospital District No 1 of Rice CoLyons, KS, CCN 17Z330 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 6, 2006
Lyons Medical CenterLyons, KS, CCN 178568 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2012

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 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1689973372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 828",
            "city": "LYONS",
            "state": "KS",
            "postal_code": "675540828",
            "telephone_number": "620-257-5173",
            "fax_number": "620-257-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 N BROADWAY AVE",
            "city": "STERLING",
            "state": "KS",
            "postal_code": "675791916",
            "telephone_number": "620-278-2123",
            "fax_number": "620-278-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL DISTRICT NO 1 OF RICE CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL DISTRICT NO 1 OF RICE CO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "TALLMAN",
        "authorized_official_first_name": "WESTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-257-5173"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KS",
            "license": "H080001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003942210006",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099160A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sterling Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling, KS

Sources for this page

Verify at the official NPI Registry.