NPIMap

Organization Active NPI

Rural Health Resources of Jackson Co Inc

Doing business as Holton Community Hospital

  • Critical Access Hospital
  • Holton, KS
National Provider Identifier
1902805716
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
RURAL HEALTH RESOURCES OF JACKSON CO INC
Doing business as
Holton Community Hospital
Practice address
1110 Columbine Dr
Holton, KS 66436-8824
Phone
(785) 364-2116
Fax
(785) 364-9620
NPI assigned
Jul 14, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Carrie L Saia
Title
Chief Executive Officer
Phone
(785) 364-2116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X KS Primary

Addresses

Primary practice location

1110 Columbine Dr
Holton, KS 66436-8824

Mailing address

1110 Columbine Dr
Holton, KS 66436-8824
Phone (785) 364-2116

Other identifiers 1

IdentifierTypeStateIssuer
100244350AMedicaidKS

Other names 1

  • Holton Community Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000231 KS Part A Provider - Critical Access Hospital 7810807690 Receives reassigned benefits from 44 practitioners
Practice locations: Holton, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902805716. Details of each certification follow.

Hospital certification: CCN 171319

Legal name
RURAL HEALTH RESOURCES OF JACKSON CO INC
Doing business as
HOLTON COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 12, 1999
Last certification
Jan 30, 2017
Beds
12
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
1110 Columbine Dr
Holton, KS 66436-8824

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

Other NPIs with the same Medicare PAC ID 7

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Holton Community HospitalCCN 171319 · All quality measures
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Rural Health Resources of Jackson Co Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All disclosed owners & managing parties 10

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

NameRoleSinceShare
Marilyn Watkins Individual Corporate Director Jan 1, 2021
Daniel Allen Brenner Individual Corporate OfficerVice Chair - Board of Directors Oct 23, 2018
Corporate Director Sep 25, 2013
Chad Bontrager Individual Corporate Director Oct 23, 2018
Bobbi J Ambrosio Individual Corporate Director Jul 1, 2021
Mark Aeschliman Individual Corporate Director Oct 23, 2018
Ladona M Schmidt Individual Corporate Director Jul 22, 2021
Carrie L Lutz Individual Corporate Officer Sep 26, 2012
W-2 Managing EmployeeCeo Jun 1, 2015
Operational/Managerial ControlChief Executive Officer Sep 26, 2012 100%
Heather Schrick Individual Corporate Director Sep 25, 2019
Rural Health Resources of Jackson Co Inc Organization, Holton, KS Non-profit Operational/Managerial Control Apr 17, 1997
Gloria Stavropoulos Individual Corporate Director Sep 29, 2019

Owners & managing parties with NPI records 8

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

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Holton Community HospitalHolton, KS, CCN 17Z319 Hospital Operational/Managerial Control Sep 26, 2012
Holton Community Hospital Home Health and Hospice AgencyHolton, KS, CCN 177272 Home health agency Operational/Managerial Control (100%) Apr 17, 1997
Rural Health Resources of Jackson Co IncHolton, KS, CCN 171544 Hospice Operational/Managerial Control (100%) Apr 17, 1997
Holton Family MedicineHolton, KS, CCN 178511 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 3, 2003
Hoyt Family MedicineHoyt, KS, CCN 178523 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Apr 17, 1997
Apr 17, 1997
Wetmore Family MedicineWetmore, KS, CCN 178575 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jan 1, 2013
Jan 1, 2013

Owned or controlled facilities with NPI records 6

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

Facilities with the same owner 6

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

Practitioners & affiliated clinicians

Practitioners 44

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 44

Affiliated clinicians 106

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 106

NPI Registry JSON

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1902805716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 COLUMBINE DR",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664368824",
            "telephone_number": "785-364-2116",
            "fax_number": "785-364-9620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 COLUMBINE DR",
            "city": "HOLTON",
            "state": "KS",
            "postal_code": "664368824",
            "telephone_number": "785-364-2116",
            "fax_number": "785-364-9620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RURAL HEALTH RESOURCES OF JACKSON CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2022-07-21",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "SAIA",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "785-364-2116",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100244350A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holton Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holton, KS

Sources for this page

Verify at the official NPI Registry.