Organization Active NPI

County of Logan

Doing business as Logan County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Oakley, KS
National Provider Identifier
1881789659
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
H-055-001 Issued in KS
Legal business name
COUNTY OF LOGAN
Doing business as
Logan County Hospital
Practice address
211 Cherry Avenue
Oakley, KS 67748-1201
Phone
(785) 672-3211
Fax
(785) 672-8184
NPI assigned
Oct 4, 2006
Last updated
Jul 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Joee Shane Meyer
Title
Cfo
Phone
(785) 672-1409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X H-055-001 KS Primary

Addresses

Primary practice location

211 Cherry Avenue
Oakley, KS 67748-1201

Mailing address

211 Cherry Avenue
Oakley, KS 67748-1201
Phone (785) 672-3211

Other names 1

  • Logan County Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070226000174 KS Part A Provider - Critical Access Hospital 7719890904 Practice locations: Oakley, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881789659. Details of each certification follow.

Hospital certification: CCN 17Z326

Legal name
COUNTY OF LOGAN
Organization structure
OtherNon-profit
Enrollment address
211 Cherry Ave
Oakley, KS 67748-1218
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).

National Provider Directory

National Provider Directory
Tax ID family
County of Logan3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member organizations 1

Organizations listed as members of this organization 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
Aimee Zimmerman Individual W-2 Managing EmployeeCeo Jul 27, 2022 100%
Operational/Managerial ControlCeo Jul 27, 2022 95%
Kimberly Beesley Individual Operational/Managerial ControlClinic Manager Jul 27, 2022 5%
Joee Meyer Individual Corporate DirectorCfo Sep 6, 2022
W-2 Managing EmployeeCfo Sep 6, 2022
Operational/Managerial ControlCfo Sep 6, 2022

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Logan County HospitalOakley, KS, CCN 171326 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 15, 1951

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

Affiliated clinicians 7

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1881789659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CHERRY AVENUE",
            "city": "OAKLEY",
            "state": "KS",
            "postal_code": "677481201",
            "telephone_number": "785-672-3211",
            "fax_number": "785-672-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CHERRY AVENUE",
            "city": "OAKLEY",
            "state": "KS",
            "postal_code": "677481201",
            "telephone_number": "785-672-3211",
            "fax_number": "785-672-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LOGAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "JOEE",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "785-672-1409"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "KS",
            "license": "H-055-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Logan County Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Logan County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakley, KS

Sources for this page

Verify at the official NPI Registry.