Organization Active NPI

Pioneer Community Care, Inc. Dba Pioneer Lodge

  • Nursing Facility/Intermediate Care Facility
  • Coldwater, KS
National Provider Identifier
1831172154
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
PIONEER COMMUNITY CARE, INC. DBA PIONEER LODGE
Practice address
300 W 3Rd St
Coldwater, KS 67029-7300
Phone
(620) 582-2123
Fax
(620) 582-2461
NPI assigned
Nov 21, 2005
Last updated
Mar 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Mrs. Diana L. Thompson
Title
Adminsistrator
Phone
(620) 582-2123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X KS Primary

Addresses

Primary practice location

300 W 3Rd St
Coldwater, KS 67029-7300

Mailing address

PO Box 487
Coldwater, KS 67029-0487
Phone (620) 582-2123

Other identifiers 1

IdentifierTypeStateIssuer
N-017-001MedicaidKS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0921208Pioneer Lodge300 West 3Rd Street, Coldwater, KS 67029Certificate of waiverOct 21, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1831172154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "COLDWATER",
            "state": "KS",
            "postal_code": "670290487",
            "telephone_number": "620-582-2123",
            "fax_number": "620-582-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W 3RD ST",
            "city": "COLDWATER",
            "state": "KS",
            "postal_code": "670297300",
            "telephone_number": "620-582-2123",
            "fax_number": "620-582-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIONEER COMMUNITY CARE, INC. DBA PIONEER LODGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINSISTRATOR",
        "authorized_official_telephone_number": "620-582-2123",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N-017-001",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.