Organization Active NPI

Edwards County Hospital and Healthcare Center

  • Rural Health Clinic/Center
  • St John, KS
National Provider Identifier
1932834009
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER
Practice address
609 E 1St Ave
St John, KS 67576-2223
Phone
(620) 659-3802
Fax
(620) 659-3869
NPI assigned
Jul 21, 2022
Last updated
Aug 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Authorized official

Name
Jason Ryan Murray
Title
Cfo
Phone
(620) 659-3802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

609 E 1St Ave
St John, KS 67576-2223

Mailing address

PO Box 99
Kinsley, KS 67547-0099
Phone (620) 659-3802

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmawhirter@edcomed.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040305000254 KS Part B Supplier - Clinic/Group Practice 2264343383 Receives reassigned benefits from 23 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kinsley, KS; Spearville, KS

Other NPIs on the same Medicare enrollment 5

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

National Provider Directory

National Provider Directory

Locations

604 W 8th St
Kinsley, KS 67547
Phone (620) 659-2732

620 Winchester Ave
#99
Kinsley, KS 67547
Phone (620) 659-3621

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1932834009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "KINSLEY",
            "state": "KS",
            "postal_code": "675470099",
            "telephone_number": "620-659-3802",
            "fax_number": "620-659-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E 1ST AVE",
            "city": "ST JOHN",
            "state": "KS",
            "postal_code": "675762223",
            "telephone_number": "620-659-3802",
            "fax_number": "620-659-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "620-659-3802"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmawhirter@edcomed.com",
            "affiliation": "N",
            "endpointDescription": "him",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "609 E 1st Ave",
            "city": "St John",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675762223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St John, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.