NPIMap

Organization Active NPI

Karnes County Hospital District

Doing business as Otto Kaiser Memorial Hospital

  • Critical Access Hospital
  • Kenedy, TX
National Provider Identifier
1699772541
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
KARNES COUNTY HOSPITAL DISTRICT
Doing business as
Otto Kaiser Memorial Hospital
Practice address
3349 S Highway 181
Kenedy, TX 78119-5241
Phone
(830) 583-3401
Fax
(830) 583-9053
NPI assigned
Jul 7, 2005
Last updated
May 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Authorized official

Name
Mrs. Nancy Kinkler
Title
Administrator
Phone
(830) 583-3401

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 000357 TX
Critical Access Hospital 282NC0060X NU Primary

Addresses

Primary practice location

3349 S Highway 181
Kenedy, TX 78119-5241

Mailing address

3349 S Highway 181
Kenedy, TX 78119-5241
Phone (830) 583-3401

Other identifiers 4

IdentifierTypeStateIssuer
136412710MedicaidTX
136412702MedicaidTX
00Y166OtherTXMEDICARE PTAN
084579401MedicaidTX

Other names 1

  • OTTO KAISER MEMORIAL HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20061104000384 TX Part A Provider - Critical Access Hospital 5496740201 Receives reassigned benefits from 2 practitioners
Practice locations: Kenedy, TX
O20071023000308 TX Part B Supplier - Clinic/Group Practice 5496740201 Receives reassigned benefits from 3 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kenedy, TX
O20101109001075 TX Part A Provider - Critical Access Hospital 5496740201 Receives reassigned benefits from 1 practitioner
Practice locations: Kenedy, TX

NPI to CCN mapping 3

The Medicare certification numbers (CCNs) connected to NPI 1699772541. Details of each certification follow.

Hospital certification: CCN 451364

Legal name
KARNES COUNTY HOSPITAL DISTRICT
Doing business as
OTTO KAISER MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Apr 1, 2005
Last certification
Sep 12, 2023
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
3349 S Highway 181
Otto Kaiser Memorial Hospital
Kenedy, TX 78119-5247

Hospital certification: CCN 45Z364

Legal name
KARNES COUNTY HOSPITAL DISTRICT
Doing business as
OTTO KAISER MEMORIAL HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
3349 S Highway 181
Otto Kaiser Memorial Hospital
Kenedy, TX 78119-5247
Other Hospital Practice Location

Hospital certification: CCN 450665

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
OTTO KAISER MEMORIAL HOSPITAL
Certification status
Terminated Other: provider status change, Mar 31, 2005
Provider type (POS)
Hospital – Short-term
Participating since
Oct 16, 1975
Last certification
Mar 5, 2002
Beds
43 (39 certified)
Ownership / control type
Hospital district or authority
Facility address
3349 S Highway 181
Kenedy, TX 78119

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 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Otto Kaiser Memorial HospitalCCN 451364 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
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 2

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

NameRoleSinceShare
Karnes County Hospital District Organization, Kenedy, TX Operational/Managerial Control Oct 30, 2012 100%
Operational/Managerial Control Sep 7, 2010
David Lee Individual Corporate DirectorCeo Oct 30, 2012 100%
W-2 Managing Employee Mar 30, 2015
Operational/Managerial ControlCeo Oct 30, 2012 100%

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
Kaiser Home Health ServicesKenedy, TX, CCN 459424 Home health agency 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2011

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 2

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 65

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

View all 65

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1699772541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3349 S HIGHWAY 181",
            "city": "KENEDY",
            "state": "TX",
            "postal_code": "781195241",
            "telephone_number": "830-583-3401",
            "fax_number": "830-583-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3349 S HIGHWAY 181",
            "city": "KENEDY",
            "state": "TX",
            "postal_code": "781195241",
            "telephone_number": "830-583-3401",
            "fax_number": "830-583-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARNES COUNTY HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "KINKLER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "830-583-3401",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "000357",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136412710",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136412702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00Y166",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084579401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OTTO KAISER MEMORIAL HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenedy, TX

Sources for this page

Verify at the official NPI Registry.