Kearny County Hospital

Organization Active NPI Critical Access Hospital · Lakin, KS

NPI 1821096322 · NPPES record last updated Jul 3, 2024

Key facts

NPI
1821096322
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
H-047-001 (KS)
Legal business name
KEARNY COUNTY HOSPITAL
Practice address
500 E Thorpe St
Lakin, KS 67860-9625
Phone
(620) 355-7111
Fax
(620) 355-1527
NPI assigned
Jul 8, 2005
Organization subpart
No

Authorized official

Name
Marley Koons
Title
Ceo
Phone
(620) 355-7111

Owners & managing parties with NPI records 2

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

Owned or controlled facilities with NPI records 2

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

Other NPIs with the same Medicare PAC ID 2

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

Corporate family (same tax ID) 7

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

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

Facilities with the same owner 1

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

Practitioners 36

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

View all 36

Affiliated clinicians 24

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

Medicare Care Compare: Hospital

Listed as
Kearny County Hospital CCN 171313
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

Hospital certification: CCN 171313

Legal name
KEARNY COUNTY HOSPITAL
Doing business as
KEARNY COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Mar 3, 1997
Last certification
Aug 21, 2018
Beds
25
Ownership / control type
Local
Organization structure
Other · Non-profit
Enrollment address
500 E Thorpe
Lakin, KS 67860-9625
Main/Primary Hospital Location

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Kearny County Hospital
Organization · Lakin, KS
Operational/Managerial Control May 1, 1975
Betty Greer
Individual
Corporate Officer
Board Member
Oct 1, 2021
Shannon M McCormick
Individual
Corporate Director Aug 10, 2005
Gary Hayzlett
Individual
Corporate Director
County Commissioner
Oct 1, 2021
Robin Allaman
Individual
W-2 Managing Employee
Cno
Mar 19, 2024
Marley Koons
Individual
Corporate Officer
Ceo
Oct 1, 2021
Operational/Managerial Control
Ceo
Oct 1, 2021
George Sauer
Individual
Corporate Director
Board Member
Jan 1, 2024
Michael Bassett
Individual
Corporate Director
Board Member
Mar 19, 2024
Darin Smith
Individual
Corporate Officer
Board Member
Oct 1, 2021
Rex Puckett
Individual
Corporate Officer
Board Member
Oct 1, 2021
Teresa Beaudry
Individual
Corporate Officer
Board Member
Oct 1, 2021
Randy Combs
Individual
Corporate Director
County Commissioner
Oct 1, 2021
Warren Boegel
Individual
Corporate Officer
Board Member
Jun 18, 2024

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Kearny County Hospital
Lakin, KS · CCN 17Z313
Hospital Operational/Managerial Control May 1, 1975
Family Health Center
Lakin, KS · CCN 178580
Rural health clinic Other (100%) Aug 30, 1991

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20061104000089 KS Part a Provider - Critical Access Hospital 0244148864 Receives reassigned benefits from 26 practitioners
Practice locations: Lakin, KS

National Provider Directory

Tax ID family
Kearny County Hospital PC (8 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RP1001X
Critical Access Hospital 282NC0060X H-047-001 KS Yes

Addresses

Primary practice location

500 E Thorpe St
Lakin, KS 67860-9625

Mailing address

500 E Thorpe St
Lakin, KS 67860-9625
Phone (620) 355-7111

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address admin@kearnyclinics.e-mdsdirect.com Direct

Other providers in Lakin, KS

All providers in Lakin, KS · Critical Access Hospital in Kansas

Sources for this page

Verify at the official NPI Registry.