NPIMap

Organization Active NPI

Meade Hospital District

  • Critical Access Hospital
  • Meade, KS
National Provider Identifier
1922004076
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
KSA65-425 THROUGH 65 Issued in KS
Legal business name
MEADE HOSPITAL DISTRICT
Practice address
510 E Carthage
Meade, KS 67864-0820
Phone
(620) 873-2141
Fax
(620) 873-2576
NPI assigned
Jun 23, 2005
Last updated
Apr 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Stephanie A Saucedo
Title
Cfo
Phone
(620) 873-7540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X KSA65-425 THROUGH 65 KS Primary

Addresses

Primary practice location

510 E Carthage
Meade, KS 67864-0820

Mailing address

PO Box 820
Meade, KS 67864-0820
Phone (620) 873-2141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061104000443 KS Part A Provider - Critical Access Hospital 4284609462 Receives reassigned benefits from 42 practitioners
Practice locations: Meade, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922004076. Details of each certification follow.

Hospital certification: CCN 171321

Legal name
MEADE HOSPITAL DISTRICT
Doing business as
MEADE DISTRICT HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 13, 2000
Last certification
Jan 10, 2018
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
510 E Carthage St
Meade, KS 67864-6401
Main/Primary Hospital Location

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

Other NPIs with the same Medicare PAC ID 5

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Meade District HospitalCCN 171321 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Meade Hospital Friend Care8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Shirley Goldsberry Individual Corporate DirectorBoard Member Nov 1, 2023
Richelle Axtell Individual Corporate DirectorBoard Member Nov 1, 2023
Stephanie Saucedo Individual Corporate Officer Jul 1, 2018
W-2 Managing Employee Apr 22, 2013
Operational/Managerial Control Apr 22, 2013
Max Patterson Individual Corporate DirectorBoard Member Dec 1, 2023
Sheila a Brown Individual Corporate OfficerBoard Chair Nov 1, 2022
Bradley Friesen Individual Corporate DirectorBoard Vice Chair Nov 1, 2022
Dawn Unruh Individual Corporate OfficerCeo Mar 27, 2023
W-2 Managing EmployeeCeo Mar 27, 2023
Operational/Managerial ControlCeo Mar 27, 2023

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Meade District HospitalMeade, KS, CCN 17Z321 Hospital Operational/Managerial Control (100%) Jul 1, 1966

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 49

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 49

Affiliated clinicians 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1922004076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 820",
            "city": "MEADE",
            "state": "KS",
            "postal_code": "678640820",
            "telephone_number": "620-873-2141",
            "fax_number": "620-873-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E CARTHAGE",
            "city": "MEADE",
            "state": "KS",
            "postal_code": "678640820",
            "telephone_number": "620-873-2141",
            "fax_number": "620-873-2576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADE HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "SAUCEDO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "620-873-7540"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "KSA65-425 THROUGH 65",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meade, KS

Sources for this page

Verify at the official NPI Registry.