NPIMap

Organization Active NPI

South Central Kansas Regional Medical Center

Doing business as South Central Kansas Medical Center

  • Medicare Defined Swing Bed Hospital Unit
  • Arkansas City, KS
National Provider Identifier
1982703641
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medicare Defined Swing Bed Hospital UnitTaxonomy code 275N00000X
License
H018001 Issued in KS
Legal business name
SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER
Doing business as
South Central Kansas Medical Center
Practice address
6401 Patterson Pkwy
Arkansas City, KS 67005-5701
Phone
(620) 442-2500
Fax
(620) 441-5953
NPI assigned
Sep 21, 2006
Last updated
Jun 14, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Authorized official

Name
Jeff Bowman
Title
Chief Executive Officer
Phone
(620) 441-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X H018001 KS Primary

Addresses

Primary practice location

6401 Patterson Pkwy
Arkansas City, KS 67005-5701

Mailing address

PO Box 1107
PO Box 1107
Arkansas City, KS 67005-1107
Phone (620) 442-2500

Other identifiers 1

IdentifierTypeStateIssuer
000284OtherKSBCBS

Other names 1

  • South Central Kansas Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070226000485 KS Part A Provider - Hospital 1456245802 Practice locations: Arkansas City, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982703641. Details of each certification follow.

Hospital certification: CCN 17U150

Legal name
SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER
Doing business as
SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER
Organization structure
OtherNon-profit
Enrollment address
6401 Patterson Pkwy
Arkansas City, KS 67005-5701
Other Hospital Practice Location
Hospital subgroups
Swing-bed approved

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Tax ID family
Arkansas City Emer7 organizations share this tax ID, including this one
Part of
Arkansas City Emer

Other organizations with this tax ID 6

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

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
South Central Kansas Regional Medical Center Organization, Arkansas City, KS Operational/Managerial Control Mar 17, 2011 100%
Jeff Bowman Individual Corporate OfficerCeo Oct 1, 2018 100%
Corporate DirectorCeo Oct 1, 2018
Operational/Managerial ControlCeo Oct 1, 2018 100%
Debbie Hockenbury Individual Corporate OfficerCfo Oct 27, 2020 100%
Corporate DirectorCfo Oct 27, 2020 100%
W-2 Managing EmployeeCfo Apr 21, 2021 100%

Owners & managing parties with NPI records 4

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

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1982703641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1107",
            "address_2": "PO BOX 1107",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670051107",
            "telephone_number": "620-442-2500",
            "fax_number": "620-441-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 PATTERSON PKWY",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670055701",
            "telephone_number": "620-442-2500",
            "fax_number": "620-441-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER",
        "enumeration_date": "2006-09-21",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "620-441-5900"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "KS",
            "license": "H018001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000284",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Central Kansas Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Central Kansas Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arkansas City, KS

Sources for this page

Verify at the official NPI Registry.