Emporia Surgical Hospital, LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

H056002 Issued in KS

Legal business name

EMPORIA SURGICAL HOSPITAL, LLC

Practice address

1602 W 15TH Ave
Emporia, KS 66801-0984

Phone

(620) 342-8822

Fax

(620) 342-8832

NPI assigned

Jun 21, 2005

Organization subpart

No

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

Authorized official

Name

Joseph Conroy

Title

Administrator

Phone

(620) 342-8822

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 170193

Legal name

EMPORIA SURGICAL HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Oct 1, 2007

Provider type (POS)

Hospital – Short-term

Participating since

Mar 26, 2002

Last certification

Sep 25, 2003

Beds

4

Ownership / control type

Other

Facility address

1602 West 15TH Street
Emporia, KS 66801

Practitioners 2

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

• Timothy Paul Harris, D.O.

  • Surgery Physician
  • Emporia, KS
  • NPI 1093775785
  NPD (past)
• Michael David Riley

  • Internist Chiropractor
  • Overland Park, KS
  • NPI 1700998721
  NPD (past)

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730185174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 W 15TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668010984",
            "telephone_number": "620-342-8822",
            "fax_number": "620-342-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W 15TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668010984",
            "telephone_number": "620-342-8822",
            "fax_number": "620-342-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPORIA SURGICAL HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "620-342-8822"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "KS",
            "license": "H056002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "001523",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GUARD",
            "identifier": "503710",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emporia Orthodontics,LLC
• Emporia Pain Management Center, LLC
• Emporia Psychological Services Inc
• Emporia Smiles Dba Elite Dental
• Emporia State University Athletics
• Emporia U.S.D. #253
• Stephanie England
• Jennifer Enns
• Dustin Enslinger, MS, ATC
• Mark I Ensman, D.D.S.

• General Acute Care Hospital in Emporia, KS
• Providers in Emporia, KS by specialty
• General Acute Care Hospital 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.