Organization Active NPI

Kearny County Hospital

  • Critical Access Hospital
  • Lakin, KS
National Provider Identifier
1821096322
Registry record updated Nov 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H-047-001 Issued in 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
Last updated
Nov 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2026

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

Authorized official

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

Specialties & licenses 2

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

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 1

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

Medicare participation

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

Enrollment records 1

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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821096322. Details of each certification follow.

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
OtherNon-profit
Enrollment address
500 E Thorpe
Lakin, KS 67860-9625
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Kearny County HospitalCCN 171313 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Lakin Anesthesia8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

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 OfficerBoard Member Oct 1, 2021
Shannon M McCormick Individual Corporate Director Aug 10, 2005
Gary Hayzlett Individual Corporate DirectorCounty Commissioner Oct 1, 2021
Robin Allaman Individual W-2 Managing EmployeeCno Mar 19, 2024
Marley Koons Individual Corporate OfficerCeo Oct 1, 2021
Operational/Managerial ControlCeo Oct 1, 2021
George Sauer Individual Corporate DirectorBoard Member Jan 1, 2024
Michael Bassett Individual Corporate DirectorBoard Member Mar 19, 2024
Darin Smith Individual Corporate OfficerBoard Member Oct 1, 2021
Rex Puckett Individual Corporate OfficerBoard Member Oct 1, 2021
Teresa Beaudry Individual Corporate OfficerBoard Member Oct 1, 2021
Randy Combs Individual Corporate DirectorCounty Commissioner Oct 1, 2021
Warren Boegel Individual Corporate OfficerBoard Member Jun 18, 2024

Owners & managing parties with NPI records 2

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

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 HospitalLakin, KS, CCN 17Z313 Hospital Operational/Managerial Control May 1, 1975
Family Health CenterLakin, KS, CCN 178580 Rural health clinic Other (100%) Aug 30, 1991

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Practitioners 33

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 33

Affiliated clinicians 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793664000000",
    "number": "1821096322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E THORPE ST",
            "city": "LAKIN",
            "state": "KS",
            "postal_code": "678609625",
            "telephone_number": "620-355-7111",
            "fax_number": "620-355-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E THORPE ST",
            "city": "LAKIN",
            "state": "KS",
            "postal_code": "678609625",
            "telephone_number": "620-355-7111",
            "fax_number": "620-355-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNY COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2026-11-03",
        "certification_date": "2026-11-03",
        "status": "A",
        "authorized_official_last_name": "KOONS",
        "authorized_official_first_name": "MARLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-355-7111"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H-047-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@kearnyclinics.e-mdsdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 E Thorpe St",
            "city": "Lakin",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678609625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakin, KS

Sources for this page

Verify at the official NPI Registry.