NPIMap

Organization Active NPI

Hospital District No 1 Crawford County

Doing business as Girard Medical Center of Cherokee

  • Rural Health Clinic/Center
  • Cherokee, KS
National Provider Identifier
1912935552
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
H-019-001 Issued in KS
Legal business name
HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
Doing business as
Girard Medical Center of Cherokee
Practice address
120 NW Hwy 400
Cherokee, KS 66724-0000
Phone
(620) 457-8101
Fax
(620) 457-8103
NPI assigned
Jun 30, 2006
Last updated
Oct 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Authorized official

Name
Holly Koch
Title
Cfo
Phone
(620) 724-8291

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X H-019-001 KS
Rural Health Clinic/Center 261QR1300X H-019-001 KS Primary

Addresses

Primary practice location

120 NW Hwy 400
Cherokee, KS 66724-0000

Mailing address

302 N Hospital Dr
Girard, KS 66743-2000
Phone (620) 724-8291

Other names 1

  • Girard Medical Center of Cherokee Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030919000002 KS Part A Provider - Rural Health Clinic 3476464538 Practice locations: Cherokee, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912935552. Details of each certification follow.

Rural health clinic certification: CCN 178520

Legal name
HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
Doing business as
GIRARD MEDICAL CENTER OF CHEROKEE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 6, 2004
Last certification
Jul 14, 2011
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
120 NW 400 Hwy
Cherokee, KS 66724-9649
Related CCNs
171376

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

Other NPIs with the same Medicare PAC ID 10

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

National Provider Directory

National Provider Directory
Tax ID family
Hospital Dist 1 CR Co19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Ownership & related parties

All disclosed owners & managing parties 8

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

NameRoleSinceShare
Nancy E George Individual Corporate Director Sep 19, 2003
Mary J Dent Individual Corporate Director May 1, 2009
Hospital District No 1 Crawford County Organization, Girard, KS Operational/Managerial Control Jan 1, 2006 100%
Patricia Leeds Individual Corporate Director Oct 1, 2015
Michael Bodensteiner Individual Corporate Director May 1, 2013
Ruth Duling Individual Corporate Officer Sep 1, 2017
W-2 Managing Employee Sep 1, 2017
Holly a Koch Individual W-2 Managing Employee Jan 2, 2007
Glen Mathis Individual Corporate Director May 1, 2009

Owners & managing parties with NPI records 10

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

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Girard Medical CenterGirard, KS, CCN 17M376 Hospital Operational/Managerial Control (100%) Jun 30, 2025
Girard Medical Center of FrontenacFrontenac, KS, CCN 178532 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2006
Girard Medical Center Health ClinicGirard, KS, CCN 178552 Rural health clinic Other (100%) Jan 1, 2016
Girard Medical Center of ArmaArma, KS, CCN 178622 Rural health clinic Operational/Managerial Control (100%) Sep 1, 2017

Owned or controlled facilities with NPI records 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1912935552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N HOSPITAL DR",
            "city": "GIRARD",
            "state": "KS",
            "postal_code": "667432000",
            "telephone_number": "620-724-8291",
            "fax_number": "620-724-6332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NW HWY 400",
            "city": "CHEROKEE",
            "state": "KS",
            "postal_code": "667240000",
            "telephone_number": "620-457-8101",
            "fax_number": "620-457-8103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "620-724-8291"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "H-019-001",
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KS",
            "license": "H-019-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Girard Medical Center of Cherokee",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Girard Medical Center of Cherokee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cherokee, KS

Sources for this page

Verify at the official NPI Registry.