Active NPI
St Joseph Memorial Hospital Inc
- Custodial Care Facility
- Larned, KS
National Provider Identifier
1821135815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100112110B | Medicaid | KS |
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 Hosp
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Health Clinic/Center
- Larned, KS
- NPI 1518394147
-
- Medicare Defined Swing Bed Hospital Unit
- Larned, KS
- NPI 1861423238
-
- Critical Access Hospital
- Larned, KS
- NPI 1568401206
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.