NPIMap

Hospital District No 1 Crawford County

Organization Active NPI Rural Health Clinic/Center · Cherokee, KS

NPI 1912935552 · NPPES record last updated Oct 19, 2018

Key facts

NPI
1912935552
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
License
H-019-001 (KS)
Legal business name
HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
Practice address
120 NW Hwy 400
Cherokee, KS 66724-0000
Phone
(620) 457-8101
Fax
(620) 457-8103
NPI assigned
Jun 30, 2006
Organization subpart
No

Authorized official

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

Owners & managing parties with NPI records 10

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

Owned or controlled facilities with NPI records 4

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

Other NPIs with the same Medicare PAC ID 10

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

Corporate family (same tax ID) 18

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

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

Facilities with the same owner 3

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

Practitioners 22

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

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
Other · Non-profit
Enrollment address
120 NW 400 Hwy
Cherokee, KS 66724-9649
Related CCNs
171376

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

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 Center
Girard, KS · CCN 17M376		 Hospital Operational/Managerial Control (100%) Jun 30, 2025
Girard Medical Center of Frontenac
Frontenac, KS · CCN 178532		 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2006
Girard Medical Center Health Clinic
Girard, KS · CCN 178552		 Rural health clinic Other (100%) Jan 1, 2016
Girard Medical Center of Arma
Arma, KS · CCN 178622		 Rural health clinic Operational/Managerial Control (100%) Sep 1, 2017

Medicare enrollment records

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

National Provider Directory

Tax ID family
James T Wilkins MD (19 organizations share this tax ID)

Specialties & licenses

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

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 identifiers

IdentifierTypeStateIssuer
100004200JMedicaidKS

Other names

  • Girard Medical Center of Cherokee Doing business as

Other providers in Cherokee, KS

All providers in Cherokee, KS · Rural Health Clinic/Center in Kansas

Sources for this page

Verify at the official NPI Registry.