NPIMap

Organization Active NPI

Sumner County Hospital District No 1

Doing business as Caldwell Family Clinic

  • Rural Health Clinic/Center
  • Caldwell, KS
National Provider Identifier
1881327153
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SUMNER COUNTY HOSPITAL DISTRICT NO 1
Doing business as
Caldwell Family Clinic
Practice address
761 W 175TH St S
Caldwell, KS 67022-8301
Phone
(620) 845-6492
Fax
(620) 845-2518
NPI assigned
Jul 5, 2022
Last updated
Jul 17, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMNER COUNTY HOSPITAL DISTRICT NO 1As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Authorized official

Name
Chris Graham
Title
Ceo
Phone
(620) 845-6492

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

761 W 175TH St S
Caldwell, KS 67022-8301

Mailing address

761 W 175TH St S
Caldwell, KS 67022-8301
Phone (620) 845-6492

Other names 1

  • Caldwell Family Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221004003580 KS Part A Provider - Rural Health Clinic 6103925268 Practice locations: Caldwell, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881327153. Details of each certification follow.

Rural health clinic certification: CCN 178644

Legal name
SUMNER COUNTY HOSPITAL DISTRICT NO 1
Doing business as
CALDWELL FAMILY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 1, 2022
Last certification
May 6, 2026
Ownership / control type
2B
Organization structure
CorporationNon-profit
Enrollment address
761 W 175TH St S
Caldwell, KS 67022-8301
Related CCNs
171329

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

Other NPIs with the same Medicare PAC ID 2

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0450939Caldwell Family Clinic761 West 175TH Street South, RHC Suite #1, Caldwell, KS 67022Certificate of waiverAug 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Sumner County Hosp 12 organizations share this tax ID, including this one
Part of
Sumner County Hosp 1

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Orie Love Individual Corporate Director Jul 1, 2022
Stacy Boone Individual Corporate Director May 22, 2024
Joel Hudson Individual Corporate Director Jul 1, 2022
Pamela Lungren Individual Corporate Director Jul 1, 2022
Kelly Sandell Individual Corporate Director May 22, 2024
Jeffrey Janzen Individual Corporate Director May 29, 2025
Marla S Nispel Individual Corporate Director Jul 1, 2022
Sumner County Hospital District No 1 Organization, Caldwell, KS Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2022 100%
Clifton Risley Individual Corporate Director Jul 1, 2022
Chris Graham Individual Corporate Officer Jul 29, 2024
W-2 Managing Employee Jul 29, 2024
Operational/Managerial Control Jul 29, 2024
Rachel Swafford Individual Corporate OfficerCfo Jul 1, 2022
W-2 Managing Employee Jul 1, 2022
Tyann Orton Individual Corporate Director May 29, 2025

Owners & managing parties with NPI records 2

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

Change-of-ownership history 1

DateEventCounterparty
Jul 1, 2022 Change of OwnershipThis provider was the buyer Integris Caldwell Family ClinicCCN 178973, KS, NPI 1942201397

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 43

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 43

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784246400000",
    "number": "1881327153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 W 175TH ST S",
            "city": "CALDWELL",
            "state": "KS",
            "postal_code": "670228301",
            "telephone_number": "620-845-6492",
            "fax_number": "620-845-2518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 W 175TH ST S",
            "city": "CALDWELL",
            "state": "KS",
            "postal_code": "670228301",
            "telephone_number": "620-845-6492",
            "fax_number": "620-845-2518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMNER COUNTY HOSPITAL DISTRICT NO 1",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMNER COUNTY HOSPITAL DISTRICT NO 1",
        "enumeration_date": "2022-07-05",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-845-6492"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caldwell Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Caldwell Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caldwell, KS

Sources for this page

Verify at the official NPI Registry.