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Organization Active NPI

Kiowa County Memorial Hospital

  • Critical Access Hospital
  • Greensburg, KS
National Provider Identifier
1942309166
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H-049-001 Issued in KS
Legal business name
KIOWA COUNTY MEMORIAL HOSPITAL
Practice address
721 W Kansas Ave
Greensburg, KS 67054-1633
Phone
(620) 723-3341
Fax
(620) 723-2915
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Authorized official

Name
Morgan Renee Allison
Title
Ceo
Phone
(620) 723-4203

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X H-049-001 KS Primary
Ambulance 341600000X

Addresses

Primary practice location

721 W Kansas Ave
Greensburg, KS 67054-1633

Mailing address

721 W Kansas Ave
Greensburg, KS 67054-1633
Phone (620) 723-3341

Other identifiers 1

IdentifierTypeStateIssuer
30003956420008MedicaidKS

Other names 1

  • Kiowa County Memorial Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201211000779 KS Part A Provider - Critical Access Hospital 9638589369 Receives reassigned benefits from 9 practitioners
Practice locations: Greensburg, KS

Other NPIs with the same Medicare PAC ID 3

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

Hospital certification: CCN 171332

Legal name
KIOWA COUNTY MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Feb 28, 2001
Last certification
Feb 27, 2024
Beds
25
Ownership / control type
Local
Most recent change of ownership
Jan 1, 2002 (1 total)
Organization structure
GovernmentNon-profit
Enrollment address
721 W Kansas Ave
Greensburg, KS 67054-1633
Hospital Swing-Bed Unit

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

National Provider Directory

National Provider Directory
Tax ID family
Greensburg Family Practic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Jane Oborny Individual Corporate OfficerCfo Sep 4, 2020 100%
Operational/Managerial ControlCfo Sep 4, 2020 100%
Morgan Renee Allison Individual Corporate OfficerCeo Apr 1, 2021 100%
Operational/Managerial ControlCeo Apr 1, 2021 100%

Practitioners 23

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

View all 23

Affiliated clinicians 17

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

View all 17

Care Compare: Hospital

Medicare Care Compare
Listed as
Kiowa County Memorial HospitalCCN 171332
Type
Critical Access Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681430400000",
    "number": "1942309166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W KANSAS AVE",
            "city": "GREENSBURG",
            "state": "KS",
            "postal_code": "670541633",
            "telephone_number": "620-723-3341",
            "fax_number": "620-723-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 W KANSAS AVE",
            "city": "GREENSBURG",
            "state": "KS",
            "postal_code": "670541633",
            "telephone_number": "620-723-3341",
            "fax_number": "620-723-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIOWA COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-723-4203"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H-049-001",
            "primary": true
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003956420008",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiowa County Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kiowa County Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greensburg, KS

Sources for this page

Verify at the official NPI Registry.