NPIMap

Organization Active NPI

Comanche County Hospital

  • Clinic/Center
  • Coldwater, KS
National Provider Identifier
1891710703
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COMANCHE COUNTY HOSPITAL
Practice address
301 S Washinton
Coldwater, KS 67029
Phone
(620) 582-2136
Fax
(620) 582-2515
NPI assigned
Jul 12, 2006
Last updated
May 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Lisa A Brooks
Title
Business Office Manager
Phone
(620) 582-2144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

301 S Washinton
Coldwater, KS 67029

Mailing address

301 S Washington
Comanche County Medical Clinic
Coldwater, KS 67029
Phone (620) 582-2136

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050325000218 KS Part B Supplier - Clinic/Group Practice 5395791008 Receives reassigned benefits from 11 practitioners
Practice locations: Coldwater, KS; Protection, KS

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory

Locations

202 S Frisco St
#65
Coldwater, KS 67029
Phone (620) 582-2144

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Comanche County HospitalColdwater, KS, CCN 171312 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966
Comanche County HospitalColdwater, KS, CCN 17Z312 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1966

Owned or controlled facilities with NPI records 2

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

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1891710703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S WASHINGTON",
            "address_2": "COMANCHE COUNTY MEDICAL CLINIC",
            "city": "COLDWATER",
            "state": "KS",
            "postal_code": "67029",
            "telephone_number": "620-582-2136",
            "fax_number": "620-582-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S WASHINTON",
            "city": "COLDWATER",
            "state": "KS",
            "postal_code": "67029",
            "telephone_number": "620-582-2136",
            "fax_number": "620-582-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMANCHE COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "620-582-2144"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, KS

Sources for this page

Verify at the official NPI Registry.