NPIMap

Organization Active NPI

Mercy Specialty Hospital Southeast Kansas

  • Special Hospital
  • Galena, KS
National Provider Identifier
1992341473
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS
Practice address
1619 K66
Galena, KS 66739-4306
Phone
(620) 783-1732
NPI assigned
Nov 20, 2019
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Douglas Fast
Title
VP Finance
Phone
(417) 556-2936

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU
Special Hospital 284300000X NU Primary

Addresses

Primary practice location

1619 K66
Galena, KS 66739-4306

Mailing address

1619 K66
Galena, KS 66739-4306
Phone (620) 783-1732

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200226000050 KS Part A Provider - Hospital 4183051428 Practice locations: Galena, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992341473. Details of each certification follow.

Hospital certification: CCN 170203

Legal name
MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS
Doing business as
MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jun 20, 2013
Last certification
May 28, 2025
Beds
48
Ownership / control type
Private (not for profit)
Most recent change of ownership
Jan 26, 2020 (1 total)
Organization structure
CorporationNon-profit
Enrollment address
1619 K66
Galena, KS 66739-4306
Main/Primary Hospital Location
Hospital subgroups
Specialty hospital

Care Compare: Hospital

Medicare Care Compare
Listed as
Mercy Specialty Hospital Southeast KansasCCN 170203 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Locations

444 Four States Dr
Ste 2
Galena, KS 66739
Phone (620) 783-4000

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Mercy Health Southwest Missouri Kansas Communities Organization, Joplin, MO Corporation, Non-profit, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jan 26, 2020 100%
John M Mohart Individual Corporate DirectorBoard Member Jan 9, 2026
Jeremy S Drinkwitz Individual Corporate OfficerPresident Jan 26, 2020
Corporate DirectorPresident Jan 26, 2020
W-2 Managing Employee Jan 26, 2020
Jennifer Cohen Individual W-2 Managing EmployeeDirector May 27, 2025
Dominic M Meldi Individual Corporate DirectorBoard Member Jan 9, 2026
Doug Fast Individual Corporate OfficerTreasurer Feb 1, 2026
W-2 Managing EmployeeVP Finance Feb 1, 2026
Denise Scoffic Individual Corporate OfficerSVP Jan 1, 2026
Mercy Health Organization, Chesterfield, MO Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jan 26, 2020 100%
Jennifer Brown Individual Corporate OfficerSecretary Jan 1, 2026
Patricia Gelbach Individual Corporate DirectorBoard Member Jan 9, 2026
David G Argueta Individual Corporate DirectorBoard Member Jan 9, 2026

Owners & managing parties with NPI records 2

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

Facilities with the same owner 114

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

View all 114

Practitioners & affiliated clinicians

Practitioners 6

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 153

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

View all 153

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1992341473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 K66",
            "city": "GALENA",
            "state": "KS",
            "postal_code": "667394306",
            "telephone_number": "620-783-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 K66",
            "city": "GALENA",
            "state": "KS",
            "postal_code": "667394306",
            "telephone_number": "620-783-1732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY SPECIALTY HOSPITAL SOUTHEAST KANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "FAST",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "417-556-2936"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galena, KS

Sources for this page

Verify at the official NPI Registry.