Attica Hospital District #1

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

ATTICA HOSPITAL DISTRICT #1

Doing business as

Attica Long Term Care

Practice address

302 North Botkin
Attica, KS 67009-9032

Phone

(620) 254-7253

Fax

(620) 254-7629

NPI assigned

Jan 22, 2007

Last updated

Dec 28, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Shannon Kunz

Title

Board Chairman

Phone

(620) 254-7256

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Attica Long Term Care Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972657468. Details of each certification follow.

• CCN 170170 Hospital · Terminated · Name & address match · Details

Hospital certification: CCN 170170

Legal name

ATTICA HOSPITAL DISTRICT #1

Certification status

Terminated Voluntary: merger or closure, Oct 31, 1991

Provider type (POS)

Hospital – Short-term

Participating since

May 1, 1970

Last certification

Sep 5, 1990

Beds

18

Ownership / control type

Hospital district or authority

Facility address

302 N Botkin
Attica, KS 67009

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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.

• Nizar D Kibar, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Anthony, KS
  • NPI 1124096300
  NPD (past)
• Ryan Woodruff

  • Family Medicine Physician
  • Andover, KS
  • NPI 1588157960
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1972657468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 NORTH BOTKIN",
            "city": "ATTICA",
            "state": "KS",
            "postal_code": "670099032",
            "telephone_number": "620-254-7253",
            "fax_number": "620-254-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 NORTH BOTKIN",
            "city": "ATTICA",
            "state": "KS",
            "postal_code": "670099032",
            "telephone_number": "620-254-7253",
            "fax_number": "620-254-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATTICA HOSPITAL DISTRICT #1",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "KUNZ",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "BOARD CHAIRMAN",
        "authorized_official_telephone_number": "620-254-7256",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "KS",
            "license": "N039003",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100107170A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Attica Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hospital District 5 of Harper County Kansas
• Hospital District No 6 of Harper County Kansas (Attica Rural Health Clinic)
• Unified School District No. 511

• Skilled Nursing Facility in Attica, KS
• Providers in Attica, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.