Comanche County Hospital
Organization Active NPI Clinic/Center · Coldwater, KS
NPI 1891710703 · NPPES record last updated May 24, 2010
Key facts
- NPI
- 1891710703
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 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
- Organization subpart
- No
Authorized official
- Name
- Lisa A Brooks
- Title
- Business Office Manager
- Phone
- (620) 582-2144
Owned or controlled facilities with NPI records 2
Other NPIs with the same Medicare PAC ID 2
Practitioners 21
-
Ashley Ra-Nea Alvarez, APRN
-
Melanie Sue Dunn, ARNP-C
-
Carmen Dawnette Nelson, APRN
-
Daniel Schowengerdt, M.D.
-
Jason Lyle Hoke, DO
-
James M Stanford, MD
-
Timothy A Hanson, CRNA
-
Spencer Charles Anderson, PA-C
-
Daren L. Badura, MPA
-
Daniel Joseph Krause, PA-C
-
Trent Dylan Befort, APRN
-
Joseph Duane McBeain, CRNA
-
Patrick N Barker, MD, FACS
-
Joe D Foust, RPA
-
Dale Allen Johnson, ARNP-C
-
Sandeep Chandra, M.D.
-
Chandini Sharma, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
All facility ownership & control disclosures 2
| Facility | Type | Role | Since |
|---|---|---|---|
| Comanche County Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1966 |
| Comanche County Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Jul 1, 1966 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050325000218 | KS | Part B Supplier - Clinic/Group Practice | 5395791008 |
Receives reassigned benefits from 11 practitioners Practice locations: Coldwater, KS; Protection, KS |
National Provider Directory
Locations
202 S Frisco St
Coldwater, KS 67029
Phone (620) 528-2144
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100004340N | Medicaid | KS |
Other providers in Coldwater, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.