NPIMap

Organization Active NPI

Rush County Memorial Hospital

  • Rural Acute Care Hospital
  • La Crosse, KS
National Provider Identifier
1841240959
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
Legal business name
RUSH COUNTY MEMORIAL HOSPITAL
Practice address
801 Locust
La Crosse, KS 67548-0520
Phone
(785) 222-2545
Fax
(785) 222-2868
NPI assigned
May 11, 2006
Last updated
Dec 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Debra R Hovorka
Title
Cfo
Phone
(785) 514-5619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X NU Primary

Addresses

Primary practice location

801 Locust
La Crosse, KS 67548-0520

Mailing address

PO Box 520
801 Locust
La Crosse, KS 67548-0520
Phone (785) 222-2545

Other identifiers 2

IdentifierTypeStateIssuer
30003941880002MedicaidKS
000142OtherKSBLUE CROSS PROVIDER NUMBE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060929000525 KS Part B Supplier - Hospital Department(S) 3476564840 Receives reassigned benefits from 25 practitioners
Practice locations: La Crosse, KS
O20240409000666 KS Part A Provider - Rural Emergency Hospital (Reh) 3476564840 Practice locations: La Crosse, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841240959. Details of each certification follow.

Hospital certification: CCN 170781

Legal name
RUSH COUNTY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Rural emergency hospital
Participating since
May 1, 2024
Last certification
Apr 19, 2024
Beds
1
Ownership / control type
Local
Organization structure
OtherNon-profit
Enrollment address
801 Locust St
La Crosse, KS 67548-9673
Main/Primary Hospital Location

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Rush County Memorial HospitalCCN 170781 · All quality measures
Type
Rural Emergency Hospital
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • County of Rush

    dba Rush County Health Department

    • Public Health or Welfare Agency
    • La Crosse, KS
    • NPI 1932191848

    Member Of

    NPD member

Locations

801 Locust St
#520
La Crosse, KS 67548
Phone (785) 222-2545

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Debra Hovorka Individual Corporate OfficerCfo Jan 31, 2024 50%
W-2 Managing EmployeeCfo Jan 31, 2024 50%
Robert C Ladd Individual Corporate OfficerCeo Jan 31, 2024 75%
W-2 Managing EmployeeCeo Jan 31, 2024 75%
County of Rush Organization, La Crosse, KS 5% Or Greater Direct Ownership Interest Mar 1, 1966 100%

Owners & managing parties with NPI records 2

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

  • County of Rush

    dba Rush County Health Department

    • Public Health or Welfare Agency
    • La Crosse, KS
    • NPI 1932191848

    5% Or Greater Direct Ownership Interest

    CMS ownership
  • Robert Ladd, MD
    • Family Medicine Physician
    • La Crosse, KS
    • NPI 1558334839

    Corporate Officer, W-2 Managing Employee

    CMS ownership

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Rush County Medical ClinicLa Crosse, KS, CCN 178541 Rural health clinic Operational/Managerial Control (100%) Jul 1, 2006

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 26

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 26

Affiliated clinicians 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1841240959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "address_2": "801 LOCUST",
            "city": "LA CROSSE",
            "state": "KS",
            "postal_code": "675480520",
            "telephone_number": "785-222-2545",
            "fax_number": "785-222-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 LOCUST",
            "city": "LA CROSSE",
            "state": "KS",
            "postal_code": "675480520",
            "telephone_number": "785-222-2545",
            "fax_number": "785-222-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "HOVORKA",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "785-514-5619"
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003941880002",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "000142",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, KS

Sources for this page

Verify at the official NPI Registry.