NPIMap

Organization Active NPI

Saint Lukes Hospital of Garnett Inc

  • Anesthesiology Physician
  • Garnett, KS
National Provider Identifier
1912932146
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
H002001 Issued in KS
Legal business name
SAINT LUKES HOSPITAL OF GARNETT INC
Practice address
421 S Maple St
Garnett, KS 66032-1334
Phone
(785) 448-3131
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Ms. Erin Parde
Title
Cfo
Phone
(816) 880-5277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X H002001 KS Primary

Addresses

Primary practice location

421 S Maple St
Garnett, KS 66032-1334

Mailing address

PO Box 309
Garnett, KS 66032-0309
Phone (785) 448-3131

Other identifiers 1

IdentifierTypeStateIssuer
100294110HMedicaidKS

Other names 1

  • Anderson County Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000720 KS Part A Provider - Critical Access Hospital 8729071691 Receives reassigned benefits from 53 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Garnett, KS

Hospital certification: CCN 171316

Legal name
SAINT LUKES HOSPITAL OF GARNETT INC
Doing business as
ANDERSON COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Sep 1, 1999
Last certification
Feb 20, 2019
Beds
25
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
421 S Maple St
Garnett, KS 66032-1334
Other Hospital Practice Location

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Anderson County HospitalCCN 171316
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
Anderson Co Hospital PT9 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 11

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

NameRoleSinceShare
Michael Barnes Individual Corporate DirectorBoard Member Jan 1, 2023
Darren Bass Individual Corporate OfficerPresident Sep 1, 2023
Corporate DirectorPresident Jan 1, 2026
W-2 Managing EmployeePresident Sep 1, 2023
Operational/Managerial ControlPresident Sep 1, 2023
Damon Stone Individual Corporate DirectorBoard Member Jan 1, 2023
Mackenzie Alynne Peterson Individual Corporate DirectorBoard Member Jan 1, 2026
Saint Lukes Health System Inc Organization, Kansas City, MO Non-profit 5% Or Greater Direct Ownership Interest Apr 1, 2006 100%
Amy M Nachtigal Individual Corporate DirectorVice President, Finance Jul 30, 2025
Operational/Managerial ControlVice President Jul 30, 2025
Damara L Harper Individual Corporate OfficerVice President, Finance Jan 1, 2026
Operational/Managerial ControlVice President, Finance Jan 1, 2026
BJC Health System Organization, Saint Louis, MO Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 1, 2024 100%
William P Patton Individual W-2 Managing EmployeeAd; Sep 9, 2024
Scott Hawig Individual Corporate OfficerVice President, Finance Jan 1, 2026
Operational/Managerial ControlVice President, Finance Jan 1, 2026
David R Lybarger Individual Corporate OfficerBoard Member Jan 1, 2009
Corporate DirectorBoard Member Jan 1, 2026

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 108

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

View all 108

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": "1732492800000",
    "number": "1912932146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 309",
            "city": "GARNETT",
            "state": "KS",
            "postal_code": "660320309",
            "telephone_number": "785-448-3131",
            "fax_number": "785-448-3118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 S MAPLE ST",
            "city": "GARNETT",
            "state": "KS",
            "postal_code": "660321334",
            "telephone_number": "785-448-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT LUKES HOSPITAL OF GARNETT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "PARDE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "816-880-5277",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "KS",
            "license": "H002001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100294110H",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson County Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anderson County Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garnett, KS

Sources for this page

Verify at the official NPI Registry.