Meade Hospital District

Organization Active NPI Critical Access Hospital · Meade, KS

NPI 1922004076 · NPPES record last updated Apr 15, 2021

Key facts

NPI
1922004076
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
KSA65-425 THROUGH 65 (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
Organization subpart
No

Authorized official

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

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 5

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

Corporate family (same tax ID) 7

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.

Practitioners 49

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

View all 49

Affiliated clinicians 38

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

View all 38

Medicare Care Compare: Hospital

Listed as
Meade District Hospital CCN 171321
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
Active (Provider of Services file)
Emergency services
Yes

Source: Medicare Care Compare.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

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
Other · Non-profit
Enrollment address
510 E Carthage St
Meade, KS 67864-6401
Main/Primary Hospital Location

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 Director
Board Member
Nov 1, 2023
Richelle Axtell
Individual
Corporate Director
Board 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 Director
Board Member
Dec 1, 2023
Sheila a Brown
Individual
Corporate Officer
Board Chair
Nov 1, 2022
Bradley Friesen
Individual
Corporate Director
Board Vice Chair
Nov 1, 2022
Dawn Unruh
Individual
Corporate Officer
Ceo
Mar 27, 2023
W-2 Managing Employee
Ceo
Mar 27, 2023
Operational/Managerial Control
Ceo
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 Hospital
Meade, KS · CCN 17Z321
Hospital Operational/Managerial Control (100%) Jul 1, 1966

Medicare enrollment records

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

National Provider Directory

Tax ID family
Meade Hospital Friend Care (8 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

510 E Carthage
Meade, KS 67864-0820

Mailing address

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

Other identifiers

IdentifierTypeStateIssuer
000143OtherKSBLUE CROSS

Other providers in Meade, KS

All providers in Meade, KS · Critical Access Hospital in Kansas

Sources for this page

Verify at the official NPI Registry.