NPIMap

Organization Active NPI

Stanton County Hospital

  • Critical Access Hospital
  • Johnson, KS
National Provider Identifier
1871695973
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H094001 Issued in KS
Legal business name
STANTON COUNTY HOSPITAL
Practice address
404 N. Chestnut St.
Johnson, KS 67855-0779
Phone
(620) 492-6250
Fax
(620) 492-1447
NPI assigned
Sep 1, 2006
Last updated
Mar 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Ms. Camille Davidson
Title
Administrator
Phone
(620) 492-6250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H094001 KS Primary

Addresses

Primary practice location

404 N. Chestnut St.
Johnson, KS 67855-0779

Mailing address

PO Box 779
404 N. Chestnut St.
Johnson, KS 67855-0779
Phone (620) 492-6250

Other identifiers 3

IdentifierTypeStateIssuer
000205OtherKSBCBS OF KS #
95210951MedicaidCO
100099050AMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000285 KS Part A Provider - Critical Access Hospital 7315939915 Receives reassigned benefits from 3 practitioners
Practice locations: Johnson, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871695973. Details of each certification follow.

Hospital certification: CCN 171343

Legal name
STANTON COUNTY HOSPITAL
Doing business as
STANTON COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 2002
Last certification
Jun 26, 2017
Beds
25
Ownership / control type
Local
Organization structure
OtherNon-profit
Enrollment address
404 N Chestnut St
Johnson, KS 67855-5001
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).

Care Compare: Hospital

Medicare Care Compare
Listed as
Stanton County HospitalCCN 171343 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Stanton County Hosp Lab4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the 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
Rhonda Wild Individual W-2 Managing EmployeeCfo Oct 5, 2015
Camille Davidson Individual W-2 Managing EmployeeCeo May 30, 2024
Rural Health Development Inc. Organization, Cambridge, NE Operational/Managerial Control Jun 1, 1997

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Stanton County HospitalJohnson, KS, CCN 17Z343 Hospital Other (100%) Feb 20, 2007

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 9

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

Practitioners & affiliated clinicians

Practitioners 5

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.

Affiliated clinicians 8

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": "1157068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1871695973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "address_2": "404 N. CHESTNUT ST.",
            "city": "JOHNSON",
            "state": "KS",
            "postal_code": "678550779",
            "telephone_number": "620-492-6250",
            "fax_number": "620-492-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N. CHESTNUT ST.",
            "city": "JOHNSON",
            "state": "KS",
            "postal_code": "678550779",
            "telephone_number": "620-492-6250",
            "fax_number": "620-492-1447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANTON COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-01",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "620-492-6250",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H094001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS #",
            "identifier": "000205",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95210951",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099050A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson, KS

Sources for this page

Verify at the official NPI Registry.