Organization Active NPI

St Joseph Memorial Hospital Inc

  • Custodial Care Facility
  • Larned, KS
National Provider Identifier
1821135815
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
ST JOSEPH MEMORIAL HOSPITAL INC
Practice address
923 Carroll Ave
Larned, KS 67550-2429
Phone
(620) 285-3161
Fax
(620) 285-8883
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Mrs. Sharon Lind
Title
Ceo
Phone
(620) 786-6101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

923 Carroll Ave
Larned, KS 67550-2429

Mailing address

923 Carroll Ave
Larned, KS 67550-2429
Phone (620) 285-3161

Other identifiers 1

IdentifierTypeStateIssuer
100112110BMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 170005

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
ST JOSEPH MEMORIAL HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Jan 1, 1988
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 15, 1986
Beds
68
Ownership / control type
Church
Facility address
923 Carroll St
Larned, KS 67550

National Provider Directory

National Provider Directory
Tax ID family
St Joseph Memorial Hosp4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1821135815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 CARROLL AVE",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675502429",
            "telephone_number": "620-285-3161",
            "fax_number": "620-285-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 CARROLL AVE",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675502429",
            "telephone_number": "620-285-3161",
            "fax_number": "620-285-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH MEMORIAL HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "LIND",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-786-6101",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100112110B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Larned, KS

Sources for this page

Verify at the official NPI Registry.