Sedan City Hospital

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

SEDAN CITY HOSPITAL

Practice address

300 W North St
Sedan, KS 67361-1051

Phone

(620) 725-3115

NPI assigned

Nov 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ron Dunkle

Title

Administrator

Phone

(620) 725-3115

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Sedan City Hospital

  • Critical Access Hospital
  • Sedan, KS
  • NPI 1033114277

  3476461823

  Same PAC ID
• Sedan City Hospital

  • Critical Access Hospital
  • Sedan, KS
  • NPI 1740351493

  3476461823

  Same PAC ID

Tax ID family

Sedan City Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Sedan City Hospital

  • Critical Access Hospital
  • Sedan, KS
  • NPI 1033114277
  NPD tax ID
• Sedan City Hospital

  • Critical Access Hospital
  • Sedan, KS
  • NPI 1740351493
  NPD tax ID

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Sedan City Hospital

  • Critical Access Hospital
  • Sedan, KS
  • NPI 1740351493

  Operational/Managerial Control

  CMS ownership

Practitioners 3

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.

• Jenifer P Cook, MD

  • Family Medicine Physician
  • Hugoton, KS
  • NPI 1104809987
  Medicare reassignment NPD
• Naveen Penmasta, MD

  • Family Medicine Physician
  • Kansas City, KS
  • NPI 1447697750
  Medicare reassignment NPD
• Wade Matherly, P.A.

  • Physician Assistant
  • Sedan, KS
  • NPI 1043629413
  NPD

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710058466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX C",
            "city": "SEDAN",
            "state": "KS",
            "postal_code": "673610427",
            "telephone_number": "620-725-3115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W NORTH ST",
            "city": "SEDAN",
            "state": "KS",
            "postal_code": "673611051",
            "telephone_number": "620-725-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEDAN CITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUNKLE",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "620-725-3115"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ER",
            "identifier": "016862",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pleasant Valley Nursing, LLC (Pleasant Valley Manor)
• Lori Ann Ridder, PA
• Elizabeth Catherine Ross
• Sedan Area Emergency Medical Service District 2 Inc
• Sedan City Hospital
• Sedan City Hospital
• Daniel Sellers
• Colin Michael Shawhan, D.D.S.
• David L Short, PA-C
• Shannon Simmons, DC, CKTP

• Emergency Medicine Physician in Sedan, KS
• Providers in Sedan, KS by specialty
• Emergency Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.