NPIMap

Organization Active NPI

Meade Hospital District

Doing business as Meade Rural Health Clinic

  • Family Medicine Physician
  • Meade, KS
National Provider Identifier
1851584460
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEADE HOSPITAL DISTRICT
Doing business as
Meade Rural Health Clinic
Practice address
119 N Hart
Meade, KS 67864-0820
Phone
(620) 873-2112
Fax
(620) 873-5371
NPI assigned
Aug 27, 2007
Last updated
Apr 15, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MEADE HOSPITAL DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Stephanie A Saucedo
Title
Cfo
Phone
(620) 873-7540

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Family Medicine Physician 207Q00000X KS Primary

Addresses

Primary practice location

119 N Hart
Meade, KS 67864-0820

Mailing address

PO Box 820
Meade, KS 67864-0820
Phone (620) 873-2112

Other identifiers 11

IdentifierTypeStateIssuer
1649287954OtherKSNPI
1649428863OtherKSNPI
100066980DMedicaidKS
1497778542OtherKSNPI
150OtherBCBS PLAN 65
1215159116OtherKSNPI
1922014737OtherKSNPI
1154378164OtherKSNPI
1356358675OtherKSNPI
1194853531OtherKSNPI
1598810780OtherKSNPI

Other names 1

  • Meade Rural Health Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040831001045 KS Part B Supplier - Clinic/Group Practice 4284609462 Receives reassigned benefits from 43 practitioners
Practice locations: Meade, KS

Other NPIs with the same Medicare PAC ID 5

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

National Provider Directory

National Provider Directory
Part of
Meade Hospital Friend Care

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Meade District HospitalMeade, KS, CCN 17Z321 Hospital Operational/Managerial Control (100%) Jul 1, 1966

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 48

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 48

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1851584460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820",
            "city": "MEADE",
            "state": "KS",
            "postal_code": "678640820",
            "telephone_number": "620-873-2112",
            "fax_number": "620-873-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N HART",
            "city": "MEADE",
            "state": "KS",
            "postal_code": "678640820",
            "telephone_number": "620-873-2112",
            "fax_number": "620-873-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADE HOSPITAL DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEADE HOSPITAL DISTRICT",
        "enumeration_date": "2007-08-27",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "SAUCEDO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "620-873-7540"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649287954",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1649428863",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100066980D",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1497778542",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PLAN 65",
            "identifier": "150",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1215159116",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1922014737",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1154378164",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1356358675",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1194853531",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1598810780",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Meade Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Meade Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meade, KS

Sources for this page

Verify at the official NPI Registry.