NPIMap

Organization Active NPI

Miami County Medical Center Inc

Doing business as Miami County Medical Center

  • General Acute Care Hospital
  • Paola, KS
National Provider Identifier
1700824398
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
H061001 Issued in KS
Legal business name
MIAMI COUNTY MEDICAL CENTER INC
Doing business as
Miami County Medical Center
Practice address
2100 Baptiste Dr
Paola, KS 66071-1314
Phone
(913) 294-2327
Fax
(913) 294-9897
NPI assigned
Jun 3, 2006
Last updated
Sep 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Authorized official

Name
Catherine Wiens
Title
Chief Compliance Officer
Phone
(913) 791-4459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X H061001 KS Primary

Addresses

Primary practice location

2100 Baptiste Dr
Paola, KS 66071-1314

Mailing address

2100 Baptiste Dr
Paola, KS 66071-1314
Phone (913) 294-2327

Other identifiers 1

IdentifierTypeStateIssuer
100099280AMedicaidKS

Other names 1

  • Miami County 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
O20040315000023 KS Part A Provider - Hospital 2163311457 Practice locations: Louisburg, KS; Osawatomie, KS; Paola, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700824398. Details of each certification follow.

Hospital certification: CCN 170109

Legal name
MIAMI COUNTY MEDICAL CENTER INC
Doing business as
THE UNIVERSITY OF KANSAS HEALTH SYSTEM PAOLA HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 6, 1992
Beds
39
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
2100 Baptiste Dr
Paola, KS 66071-1314
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Miami County Medical CenterCCN 170109 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
University of KS Authority24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

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

View all 23

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

20333 W 151st St
Ste 301
Olathe, KS 66061

Ownership & related parties

All disclosed owners & managing parties 28

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

NameRoleSinceShare
Charles Jason Hannagan Individual Corporate Officer Jan 1, 2023
W-2 Managing EmployeeCeo Jul 16, 2019
Elizabeth Carlton Individual Corporate Director Jan 1, 2023
Christopher B Brown Individual Corporate Director Jan 1, 2025
Christopher G Lewis Individual W-2 Managing Employee Jan 1, 2023
Ann St. Peter Individual Corporate Director Jan 1, 2025
Sherri L Vaughn Individual Corporate Director Jan 1, 2023
Jean Giddens Individual Corporate Director Jan 1, 2025
Debbie Wilkerson Individual Corporate Director Jan 1, 2023
Steven W Stites Individual Corporate Director Jan 1, 2025
Catherine R Wiens Individual Corporate OfficerChief Compliance Officer SWKC Feb 13, 2026
W-2 Managing EmployeeChief Compliance Officer SWKC Jan 1, 2014
Monica Lubeck Individual Corporate Director Jan 1, 2025
Talal W Khan Individual Corporate Director Jan 1, 2023
Janell Aust Individual Corporate Director Jun 26, 2022
Elizabeth H King Individual Corporate Director Jan 1, 2023
Gregory Graves Individual Corporate Director Jan 1, 2023
Blake Heid Individual Corporate Director Oct 12, 2022
Maureen Mahoney Individual Corporate Director Jan 1, 2023
Daniel Peters Individual Corporate Director Jan 1, 2023
Douglas a Girod Individual Corporate Director Jan 1, 2023
Robba Moran Individual Corporate Director Jan 1, 2023
Kevin Lockett Individual Corporate Director Jan 1, 2023
Robert K Page Individual Corporate Director Jan 1, 2023
Operational/Managerial ControlPresident & Ceo Jan 1, 2023
Akinlolu O Ojo Individual Corporate Director Jan 1, 2023
Romano Delcore Individual Corporate Director Jan 1, 2023
Jeffery S. Dossett Individual W-2 Managing EmployeeChief Operating Officer Jul 16, 2019
Paul Luce Individual Corporate OfficerVP/Operations May 27, 2013
W-2 Managing EmployeeVP/Operations May 27, 2013
University of Kansas Hospital Authority Organization, Kansas City, KS 5% Or Greater Direct Ownership Interest Aug 4, 2023 100%
Mark Uhlig Individual Corporate Director Jan 1, 2023

Owners & managing parties with NPI records 17

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 17

Facilities with the same owner 25

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

View all 25

Subparts reporting this organization as parent 8

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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 265

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

View all 265

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758758400000",
    "number": "1700824398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 BAPTISTE DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711314",
            "telephone_number": "913-294-2327",
            "fax_number": "913-294-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 BAPTISTE DR",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711314",
            "telephone_number": "913-294-2327",
            "fax_number": "913-294-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIAMI COUNTY MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "913-791-4459"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KS",
            "license": "H061001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099280A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami County Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paola, KS

Sources for this page

Verify at the official NPI Registry.