NPIMap

Organization Active NPI

Greeley County Health Services, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Tribune, KS
National Provider Identifier
1841306677
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
H-036-001 Issued in KS
Legal business name
GREELEY COUNTY HEALTH SERVICES, INC.
Practice address
506 Third St.
Tribune, KS 67879
Phone
(620) 376-4221
Fax
(620) 376-2406
NPI assigned
Aug 22, 2006
Last updated
Nov 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Authorized official

Name
Mr. John Kennedy
Title
Corporate Compliance
Phone
(620) 376-4221

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X H-036-001 KS Primary
Critical Access Hospital 282NC0060X H-036-001 KS

Addresses

Primary practice location

506 Third St.
Tribune, KS 67879

Mailing address

PO Box 338
Tribune, KS 67879-0338
Phone (620) 376-4221

Other identifiers 1

IdentifierTypeStateIssuer
1648OtherKSBLUE CROSS SWINGBED PROVI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070402000122 KS Part A Provider - Critical Access Hospital 0042233496 Practice locations: Tribune, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841306677. Details of each certification follow.

Hospital certification: CCN 17Z359

Legal name
GREELEY COUNTY HEALTH SERVICES INC
Organization structure
CorporationNon-profit
Enrollment address
506 Third St
Tribune, KS 67879-9684
Hospital Swing-Bed Unit

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

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Greeley Cnty HLTH Serv Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Greeley County Health Services Inc Organization, Tribune, KS Created for acquisition, Corporation, Medical provider/supplier, Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 2003 100%
David Schneider Individual Corporate DirectorBoard Member Jan 1, 2025 20%
Michael a Thon Individual Corporate DirectorBoard Member Jan 1, 2025 20%
Chris Dixon Individual Corporate DirectorMember Jan 1, 2012 20%
Ben Fisher Individual Corporate DirectorBoard Member Jan 1, 2025 20%
Linda Peterson Individual Corporate DirectorDirector Jan 1, 2019 20%
Trice Watts Individual W-2 Managing EmployeeCeo Jun 6, 2018

Owners & managing parties with NPI records 4

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
Greeley County Family Practice ClinicTribune, KS, CCN 178522 Rural health clinic Operational/Managerial Control Mar 8, 2006
Wallace County Family Practice ClinicSharon Springs, KS, CCN 178525 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2006

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 2

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

Practitioners & affiliated clinicians

Practitioners 18

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 18

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414972800000",
    "number": "1841306677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "TRIBUNE",
            "state": "KS",
            "postal_code": "678790338",
            "telephone_number": "620-376-4221",
            "fax_number": "620-376-2406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 THIRD ST.",
            "city": "TRIBUNE",
            "state": "KS",
            "postal_code": "67879",
            "telephone_number": "620-376-4221",
            "fax_number": "620-376-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREELEY COUNTY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2014-11-03",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CORPORATE COMPLIANCE",
        "authorized_official_telephone_number": "620-376-4221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "KS",
            "license": "H-036-001",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H-036-001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SWINGBED PROVI",
            "identifier": "1648",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tribune, KS

Sources for this page

Verify at the official NPI Registry.