NPIMap

Organization Active NPI

Kearny County Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Lakin, KS
National Provider Identifier
1891793279
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
H-047-001 Issued in KS
Legal business name
KEARNY COUNTY HOSPITAL
Practice address
500 E Thorpe St
Lakin, KS 67860-9625
Phone
(620) 355-7111
Fax
(620) 355-1527
NPI assigned
Jul 11, 2005
Last updated
Aug 31, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Marley Lyn Koons
Title
Ceo
Phone
(620) 355-7111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X H-047-001 KS Primary

Addresses

Primary practice location

500 E Thorpe St
Lakin, KS 67860-9625

Mailing address

500 E Thorpe St
Lakin, KS 67860-9625
Phone (620) 355-7111

Other identifiers 1

IdentifierTypeStateIssuer
001618OtherKSBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@kearnyclinics.e-mdsdirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070220000534 KS Part A Provider - Critical Access Hospital 0244148864 Practice locations: Lakin, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891793279. Details of each certification follow.

Hospital certification: CCN 17Z313

Legal name
KEARNY COUNTY HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
500 E Thorpe St
Lakin, KS 67860-9625
Main/Primary Hospital Location

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).

National Provider Directory

National Provider Directory
Tax ID family
Lakin Anesthesia8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Kearny County Hospital Organization, Lakin, KS Operational/Managerial Control May 1, 1975
Betty Greer Individual Corporate DirectorBoard Member Oct 1, 2021
Laci Williams Individual Corporate Director Jul 30, 2019 100%
W-2 Managing Employee Jul 30, 2019 100%
Shannon M McCormick Individual Corporate Director Aug 10, 2005
Gary Hayzlett Individual Corporate DirectorCounty Commissioner Oct 1, 2021
Robin Allaman Individual W-2 Managing EmployeeCno Mar 19, 2024
Marley Koons Individual Corporate OfficerCeo Oct 1, 2021
Operational/Managerial ControlCeo Oct 1, 2021
George Sauer Individual Corporate OfficerBoard Member Jun 18, 2024
Michael Bassett Individual Corporate DirectorBoard Member Mar 19, 2024
Darin Smith Individual Corporate DirectorBoard Member Oct 1, 2021
Rex Puckett Individual Corporate DirectorBoard Member Oct 1, 2021
Teresa Beaudry Individual Corporate DirectorBoard Member Oct 1, 2021
Randy Combs Individual Corporate DirectorCounty Commissioner Oct 1, 2021
Warren Boegel Individual Corporate OfficerBoard Member Jun 18, 2024

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Kearny County HospitalLakin, KS, CCN 171313 Hospital Operational/Managerial Control May 1, 1975
Family Health CenterLakin, KS, CCN 178580 Rural health clinic Other (100%) Aug 30, 1991

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1891793279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E THORPE ST",
            "city": "LAKIN",
            "state": "KS",
            "postal_code": "678609625",
            "telephone_number": "620-355-7111",
            "fax_number": "620-355-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E THORPE ST",
            "city": "LAKIN",
            "state": "KS",
            "postal_code": "678609625",
            "telephone_number": "620-355-7111",
            "fax_number": "620-355-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNY COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-11",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "KOONS",
        "authorized_official_first_name": "MARLEY",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-355-7111"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "KS",
            "license": "H-047-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "001618",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@kearnyclinics.e-mdsdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "500 E Thorpe St",
            "city": "Lakin",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678609625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakin, KS

Sources for this page

Verify at the official NPI Registry.