NPIMap

Organization Active NPI

Neosho Memorial Regional Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Chanute, KS
National Provider Identifier
1912014473
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
Legal business name
NEOSHO MEMORIAL REGIONAL MEDICAL CENTER
Practice address
629 S Plummer Ave
Chanute, KS 66720-1928
Phone
(620) 431-4000
NPI assigned
Aug 23, 2006
Last updated
Oct 25, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Authorized official

Name
Lauren K Tinsley
Title
Cfo
Phone
(620) 431-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X NU Primary

Addresses

Primary practice location

629 S Plummer Ave
Chanute, KS 66720-1928

Mailing address

PO Box 426
Chanute, KS 66720-0426
Phone (620) 431-4000

Other identifiers 1

IdentifierTypeStateIssuer
01590OtherKSBCBS SWINGBED

Other names 1

  • NMRMC Swingbed Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070227000771 KS Part A Provider - Critical Access Hospital 9133022882 Practice locations: Chanute, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912014473. Details of each certification follow.

Hospital certification: CCN 17Z380

Legal name
NEOSHO MEMORIAL REGIONAL MEDICAL CENTER
Organization structure
OtherNon-profit
Enrollment address
629 S Plummer Ave
Chanute, KS 66720-1928
Other Hospital Practice Location

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

Other NPIs with the same Medicare PAC ID 6

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

National Provider Directory

National Provider Directory
Tax ID family
Neosho Memorial Reg Med15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Neosho County

    dba Neosho County Health Department

    • Registered Nurse
    • Chanute, KS
    • NPI 1841372414

    Member Of

    NPD member

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Philip a Jarred Individual Operational/Managerial ControlTreasurer May 1, 2017
Wendy Brazil Individual Corporate OfficerCoo Jan 1, 2021
Operational/Managerial ControlCoo Jan 1, 2021
Bruce a Mullen Individual Corporate Director Dec 1, 2005
Bruce Jackson Individual Corporate Director Aug 16, 2006
Katie Tinsley Individual Corporate OfficerCfo Jan 1, 2021
Operational/Managerial ControlCfo Jan 1, 2021
Dennis Franks Individual Contracted Managing Employee Apr 1, 2006
David M Robinson Individual Corporate Director Dec 1, 2005
Alison Mih Individual Operational/Managerial ControlBoard Member Mar 30, 2021
Neosho County Organization, Erie, KS 5% Or Greater Direct Ownership Interest Jan 1, 1951 100%
Garrett Sharp Individual Operational/Managerial ControlBoard Member Mar 30, 2021
Larry Nelson Individual Corporate DirectorTrustee Nov 2, 2012

Owners & managing parties with NPI records 1

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

  • Neosho County

    dba Neosho County Health Department

    • Registered Nurse
    • Chanute, KS
    • NPI 1841372414

    5% Or Greater Direct Ownership Interest

    CMS ownership

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Nmrmc Erie Family Care ClinicErie, KS, CCN 178584 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 1, 2013

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729814400000",
    "number": "1912014473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 426",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667200426",
            "telephone_number": "620-431-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 S PLUMMER AVE",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667201928",
            "telephone_number": "620-431-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEOSHO MEMORIAL REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A",
        "authorized_official_last_name": "TINSLEY",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "620-431-4000"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SWINGBED",
            "identifier": "01590",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NMRMC Swingbed",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "NMRMC Swingbed",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chanute, KS

Sources for this page

Verify at the official NPI Registry.