NPIMap

Organization Active NPI

Edwards County Hospital and Healthcare Center

Doing business as Edwards County Hospital

  • Critical Access Hospital
  • Kinsley, KS
National Provider Identifier
1851403869
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H024001 Issued in KS
Legal business name
EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER
Doing business as
Edwards County Hospital
Edwards County Medical Center
Practice address
620 W 8TH St
Kinsley, KS 67547-2329
Phone
(620) 659-3621
Fax
(620) 659-3810
NPI assigned
Aug 31, 2006
Last updated
Aug 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Jimmie Hansel
Title
Chief Executive Officer
Phone
(620) 659-3621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H024001 KS Primary

Addresses

Primary practice location

620 W 8TH St
Kinsley, KS 67547-2329

Mailing address

620 W 8TH St
Kinsley, KS 67547-2329
Phone (620) 659-3621

Other practice location 1

604 W 8th St
Kinsley, KS 67547-2329
Phone (620) 659-2732

Other practice location 2

205 Hall St
Spearville, KS 67876-8553
Phone (620) 659-2732

Other identifiers 3

IdentifierTypeStateIssuer
100243190AMedicaidKS
100103100AMedicaidKS
100103100BMedicaidKS

Other names 2

  • Edwards County Hospital Doing business as
  • Edwards County Medical Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdowler@edcomed.com Direct

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040305000254 KS Part B Supplier - Clinic/Group Practice 2264343383 Receives reassigned benefits from 23 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kinsley, KS; Spearville, KS
O20061104000192 KS Part A Provider - Critical Access Hospital 2264343383 Receives reassigned benefits from 15 practitioners
Practice locations: Kinsley, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851403869. Details of each certification follow.

Hospital certification: CCN 171317

Legal name
EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER
Doing business as
EDWARDS COUNTY MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 24, 1999
Last certification
Dec 7, 2017
Beds
12
Ownership / control type
Local
Organization structure
OtherNon-profit
Enrollment address
620 W 8TH St
Kinsley, KS 67547-2329
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Edwards County Medical CenterCCN 171317 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

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
County of Edwards Organization, Kinsley, KS Non-profit 5% Or Greater Direct Ownership Interest Mar 1, 1990 100%
Michele Morris Individual Corporate DirectorDirector of Him Mar 1, 2024
W-2 Managing EmployeeDirector of Him Mar 1, 2024
Alisha Herrman Individual Corporate OfficerCeo Dec 13, 2024

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Midway ClinicKinsley, KS, CCN 173495 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2018
Spearville Medical ClinicSpearville, KS, CCN 178629 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Nov 4, 2019
Aug 24, 2015

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 1

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

Practitioners & affiliated clinicians

Practitioners 17

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 17

Affiliated clinicians 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1851403869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W 8TH ST",
            "city": "KINSLEY",
            "state": "KS",
            "postal_code": "675472329",
            "telephone_number": "620-659-3621",
            "fax_number": "620-659-3810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 W 8TH ST",
            "city": "KINSLEY",
            "state": "KS",
            "postal_code": "675472329",
            "telephone_number": "620-659-3621",
            "fax_number": "620-659-3810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 W 8th St",
            "address_purpose": "LOCATION",
            "city": "Kinsley",
            "state": "KS",
            "postal_code": "675472329",
            "country_code": "US",
            "telephone_number": "620-659-2732",
            "fax_number": "620-659-3850",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 Hall St",
            "address_purpose": "LOCATION",
            "city": "Spearville",
            "state": "KS",
            "postal_code": "678768553",
            "country_code": "US",
            "telephone_number": "620-659-2732",
            "fax_number": "620-659-3850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "HANSEL",
        "authorized_official_first_name": "JIMMIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "620-659-3621"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H024001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100243190A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100103100A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100103100B",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdowler@edcomed.com",
            "affiliation": "N",
            "endpointDescription": "RHC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "205 Hall St",
            "city": "Spearville",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678768553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Edwards County Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edwards County Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edwards County Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kinsley, KS

Sources for this page

Verify at the official NPI Registry.