NPIMap

Washington County Hospital

Organization Active NPI Critical Access Hospital · Washington, KS

NPI 1962403584 · NPPES record last updated Jul 27, 2021

Key facts

NPI
1962403584
Entity type
Organization (NPI type 2)
Primary specialty
Critical Access Hospital 282NC0060X
License
171351 (KS)
Legal business name
WASHINGTON COUNTY HOSPITAL
Practice address
304 E 3Rd St
Washington, KS 66968-2098
Phone
(785) 325-2211
Fax
(785) 325-3224
NPI assigned
Aug 4, 2005
Organization subpart
No

Authorized official

Name
Roxanne Schottel
Title
Ceo
Phone
(785) 325-2211

Owners & managing parties with NPI records 4

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

Other NPIs with the same Medicare PAC ID 3

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

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

Practitioners 3

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

Affiliated clinicians 10

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

Medicare Care Compare: Hospital

Listed as
Washington County Hospital CCN 171351
Type
Critical Access Hospitals
Ownership
Government - Local
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 171351

Legal name
WASHINGTON COUNTY HOSPITAL
Doing business as
WASHINGTON COUNTY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Jan 1, 2003
Last certification
May 27, 2016
Beds
25
Ownership / control type
Local
Organization structure
Government · Proprietary
Enrollment address
304 E 3Rd St
Washington, KS 66968-2033

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
Justin Dragastin
Individual 		Corporate Director
Board Member		 Jan 1, 2016
Staci Cardenas
Individual 		Corporate Director
Board Member		 Jan 1, 2023
Sandi Freese
Individual 		W-2 Managing Employee
Delegated Official		 Sep 13, 2010
Cynthia Ohlde
Individual 		Corporate Director
Board Member		 Jan 1, 2017
Roxanne Schottel
Individual 		Operational/Managerial Control
Ceo		 Apr 15, 2014
Washington County Hospital
Organization · Washington, KS
Non-profit 		Operational/Managerial Control Jul 6, 2010
Larry D Stoppel
Individual 		Corporate Director
Board Member		 Jan 1, 2015
Jana Rollman
Individual 		Corporate Director
Board Member		 Jan 1, 2023

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100728000315 KS Part a Provider - Critical Access Hospital 6901844208 Practice locations: Washington, KS

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 171351 KS Yes

Addresses

Primary practice location

304 E 3Rd St
Washington, KS 66968-2098

Mailing address

304 E 3Rd St
Washington, KS 66968-2098
Phone (785) 325-2211

Other identifiers

IdentifierTypeStateIssuer
000152OtherKSACUTE BCBS
100099440AMedicaidKS

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 27, 2021.

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1962403584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E 3RD ST",
            "city": "WASHINGTON",
            "state": "KS",
            "postal_code": "669682098",
            "telephone_number": "785-325-2211",
            "fax_number": "785-325-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E 3RD ST",
            "city": "WASHINGTON",
            "state": "KS",
            "postal_code": "669682098",
            "telephone_number": "785-325-2211",
            "fax_number": "785-325-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A",
        "authorized_official_last_name": "SCHOTTEL",
        "authorized_official_first_name": "ROXANNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-325-2211"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "171351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUTE BCBS",
            "identifier": "000152",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099440A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, KS

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

Sources for this page

Verify at the official NPI Registry.