NPIMap

Organization Active NPI

Citizens Medical Center, Inc.

  • Assisted Living Facility
  • Colby, KS
National Provider Identifier
1962410241
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CITIZENS MEDICAL CENTER, INC.
Practice address
1625 S. Franklin Avenue, Citizens Medical Center, Inc.
Dba Citizens Medical Center Ltcu,
Colby, KS 67701
Phone
(785) 462-8295
Fax
(785) 460-1435
NPI assigned
Aug 3, 2006
Last updated
Feb 12, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
CITIZENS MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Mr. Greg Unruh
Title
Ceo
Phone
(785) 460-4801

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X KS Primary
Nursing Facility/Intermediate Care Facility 313M00000X H097101 KS
Nursing Facility/Intermediate Care Facility 313M00000X KS

Addresses

Primary practice location

1625 S. Franklin Avenue, Citizens Medical Center, Inc.
Dba Citizens Medical Center Ltcu,
Colby, KS 67701

Mailing address

1625 S Franklin Ave
Colby, KS 67701-3722
Phone (785) 462-8295

Other identifiers 1

IdentifierTypeStateIssuer
100110250AMedicaidKS

Other names 1

  • TPC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160323000122 KS Part A Provider - Skilled Nursing Facility 8729996467 Practice locations: Colby, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962410241. Details of each certification follow.

Skilled nursing facility certification: CCN 175554

Legal name
CITIZENS MEDICAL CENTER INC
Doing business as
CITIZENS MEDICAL CENTER LTCU
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 19, 2017
Last certification
Aug 7, 2024
Beds
60
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Mar 14, 1979 in KS
Enrollment address
1625 S Franklin Ave
Colby, KS 67701-3722
Nursing home name
CITIZENS MEDICAL CENTER LTCU

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: Nursing home

Medicare Care Compare
Listed as
Citizens Medical Center LtcuCCN 175554 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 19, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6043.1 residents per day on average
Penalties (3 years)
1Fines totaling $17,124

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Family Center Healthcar9 organizations share this tax ID, including this one
Part of
Family Center Healthcar

Other organizations with this tax ID 8

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

Locations

1625 S Franklin Ave
Colby, KS 67701
Phone (785) 462-8295

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Heather Dixon Individual W-2 Managing EmployeeMed Staff Servs Coordinator Dec 9, 2013
Citizens Medical Center Inc Organization, Colby, KS Corporation Operational/Managerial Control Feb 16, 2015 100%
Philip R Stover Individual Corporate OfficerCfo Jun 10, 2019
W-2 Managing EmployeeCfo Jun 10, 2019
Operational/Managerial ControlCfo Jun 10, 2019
David McCorkle Individual Corporate OfficerCeo Mar 31, 2022
W-2 Managing EmployeeCeo Mar 31, 2022
Operational/Managerial ControlCeo Mar 31, 2022

Owners & managing parties with NPI records 5

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

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Citizens Medical CenterColby, KS, CCN 171362 Hospital Operational/Managerial Control (100%) Jul 1, 1966
Citizens Medical CenterColby, KS, CCN 17Z362 Hospital Operational/Managerial Control (100%) Mar 14, 1979
Family Center for HealthcareColby, KS, CCN 178508 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2003

Owned or controlled facilities with NPI records 3

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

Facilities with the same owner 3

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

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.

Affiliated clinicians 5

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

NPI Registry JSON

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1962410241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 S FRANKLIN AVE",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013722",
            "telephone_number": "785-462-8295",
            "fax_number": "785-460-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 S. FRANKLIN AVENUE, CITIZENS MEDICAL CENTER, INC.",
            "address_2": "DBA CITIZENS MEDICAL CENTER LTCU,",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "67701",
            "telephone_number": "785-462-8295",
            "fax_number": "785-460-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITIZENS MEDICAL CENTER, INC.",
        "enumeration_date": "2006-08-03",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "UNRUH",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-460-4801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": null,
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": "H097101",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100110250A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TPC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colby, KS

Sources for this page

Verify at the official NPI Registry.