NPIMap

Organization Active NPI

Commonspirit Kansas, Inc.

Doing business as St. Catherine Hospital - Dodge City

  • Medicare Defined Swing Bed Hospital Unit
  • Dodge City, KS
National Provider Identifier
1790428639
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
COMMONSPIRIT KANSAS, INC.
Doing business as
St. Catherine Hospital - Dodge City
Practice address
3001 Avenue a
Dodge City, KS 67801-2270
Phone
(620) 225-8400
NPI assigned
Apr 19, 2022
Last updated
Jan 16, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
COMMONSPIRIT HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Tadd M Richert
Title
Region Chief Financial Officer
Phone
(303) 673-7864

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X Primary

Addresses

Primary practice location

3001 Avenue a
Dodge City, KS 67801-2270

Mailing address

PO Box 800022
Kansas City, MO 64180-0022
Phone (800) 953-0104

Other names 2

  • St. Catherine Hospital - Dodge City Doing business as
  • St. Catherine Hospital - Dodge City Swing Bed Unit Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220624001016 KS Part A Provider - Hospital 4789595844 Practice locations: Dodge City, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1790428639. Details of each certification follow.

Hospital certification: CCN 17U175

Legal name
COMMONSPIRIT KANSAS INC
Doing business as
ST. CATHERINE HOSPITAL - DODGE CITY
Organization structure
CorporationNon-profit
Incorporated
Dec 2, 1968 in KS
Enrollment address
3001 Avenue a
Dodge City, KS 67801-2270
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

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

Other NPIs with the same Medicare PAC ID 8

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

National Provider Directory

National Provider Directory
Tax ID family
St Catherine Radiation27 organizations share this tax ID, including this one
Part of
Catholic Health Initiatives

Other organizations with this tax ID 26

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

View all 26

Ownership & related parties

All disclosed owners & managing parties 17

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

NameRoleSinceShare
Shawna Rene Roark Individual Corporate OfficerVP Finance & Cfo Jul 1, 2022
Operational/Managerial ControlVP Finance & Cfo Jul 1, 2022
Commonspirit Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 1, 2022 100%
Fred Dierksen Individual Corporate DirectorAdvisory Board Member Apr 1, 2025
Twilla Lee Individual Corporate DirectorAdvisory Board Member Apr 1, 2025
Commonspirit Mountain Region Organization, Centennial, CO Corporation, Non-profit, Chain home office Operational/Managerial Control May 1, 2022
Darrin Figgins Individual Corporate DirectorAdvisory Board Member Apr 1, 2025
Bryan Kent Stucky Individual Corporate DirectorAdvisory Board Member Apr 1, 2025
Vivian Fankhauser Individual Corporate DirectorAdvisory Board Member Apr 1, 2025
Jeremy J Presley Individual Corporate DirectorAdvisory Board Member Apr 1, 2025
P-Jay Patel Individual Corporate DirectorAdvisory Board Member Apr 1, 2025
Mitch Melfi Individual Corporate DirectorBoard Member May 1, 2022
Tadd Richert Individual Corporate OfficerRegion Chief Financial Officer May 1, 2022
Operational/Managerial ControlRegion Chief Financial Officer May 1, 2022
Janice Thome Individual Corporate DirectorAdvisory Board Member Apr 1, 2025
Sheri Shapiro Individual Corporate DirectorBoard Member Apr 1, 2025
Katherine Brooks Individual Corporate OfficerSecretary Apr 1, 2025
Andrew Gaasch Individual Corporate OfficerTreasurer Apr 1, 2025
Operational/Managerial ControlPresident Mountain Region May 1, 2022
Merrill Ray Conant Individual Corporate DirectorAdvisory Board Member Apr 1, 2025

Owners & managing parties with NPI records 3

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

Facilities with the same owner 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1790428639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800022",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641800022",
            "telephone_number": "800-953-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 AVENUE A",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678012270",
            "telephone_number": "620-225-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMONSPIRIT KANSAS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMONSPIRIT HEALTH",
        "enumeration_date": "2022-04-19",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "RICHERT",
        "authorized_official_first_name": "TADD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGION CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "303-673-7864"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "St. Catherine Hospital - Dodge City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Catherine Hospital - Dodge City Swing Bed Unit",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dodge City, KS

Sources for this page

Verify at the official NPI Registry.