NPIMap

Organization Active NPI

Hospital District No 1 of Rice Co

  • Critical Access Hospital
  • Lyons, KS
National Provider Identifier
1710962014
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H080001 Issued in KS
Legal business name
HOSPITAL DISTRICT NO 1 OF RICE CO
Practice address
619 S. Clark
Lyons, KS 67554-0828
Phone
(620) 257-5173
Fax
(620) 257-2608
NPI assigned
Dec 8, 2005
Last updated
Oct 31, 2023By the provider in NPPES
Organization subpart
No

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
Cfo
Phone
(620) 257-5173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H080001 KS Primary

Addresses

Primary practice location

619 S. Clark
Lyons, KS 67554-0828

Mailing address

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

Other identifiers 2

IdentifierTypeStateIssuer
30003942210004MedicaidKS
100099160AMedicaidKS

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
Practice locations: Lyons, KS; Sterling, KS
O20070702000519 KS Part A Provider - Critical Access Hospital 0648175042 Receives reassigned benefits from 37 practitioners
Practice locations: Lyons, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710962014. Details of each certification follow.

Hospital certification: CCN 171330

Legal name
HOSPITAL DISTRICT NO 1 OF RICE CO
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 2001
Last certification
Jan 9, 2019
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
619 S Clark Ave
Lyons, KS 67554-3003
Other Hospital Practice Location

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.

Care Compare: Hospital

Medicare Care Compare
Listed as
Hospital District #1 of Rice CountyCCN 171330 · 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

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 OfficerBoard Member Mar 15, 2021
Sheri L Bennett Individual Corporate Director Sep 15, 2008
Marcia Diasio Individual Corporate OfficerBoard Member Mar 15, 2021
George M Stover Individual W-2 Managing Employee Mar 29, 2011
Terry L David Individual Corporate Director May 1, 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 38

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.

View all 38

Affiliated clinicians 56

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

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1710962014",
    "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": "619 S. CLARK",
            "city": "LYONS",
            "state": "KS",
            "postal_code": "675540828",
            "telephone_number": "620-257-5173",
            "fax_number": "620-257-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL DISTRICT NO 1 OF RICE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-08",
        "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": "CFO",
        "authorized_official_telephone_number": "620-257-5173"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H080001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003942210004",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099160A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyons, KS

Sources for this page

Verify at the official NPI Registry.