NPIMap

Organization Active NPI

Hospital District No 1 Crawford County

  • Rural Health Clinic/Center
  • Frontenac, KS
National Provider Identifier
1992733539
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
H-019-001 Issued in KS
Legal business name
HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
Practice address
1011 N Highway 69
Frontenac, KS 66763-8100
Phone
(620) 235-1377
Fax
(620) 235-1558
NPI assigned
Jun 30, 2006
Organization subpart
Yes
Parent organization
HOSPITAL DISTRICT NO 1 CRAWFORD COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Authorized official

Name
Holly Koch
Title
Cfo
Phone
(620) 724-8291

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Rural Health Clinic/Center 261QR1300X H-019-001 KS Primary

Addresses

Primary practice location

1011 N Highway 69
Frontenac, KS 66763-8100

Mailing address

1011 N Highway 69
Frontenac, KS 66763-8100
Phone (620) 235-1377

Other identifiers 1

IdentifierTypeStateIssuer
100004200NMedicaidKS

Other names 1

  • Girard Medical Center of Frontenac Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041216000262 KS Part A Provider - Rural Health Clinic 3476464538 Practice locations: Frontenac, KS

Rural health clinic certification: CCN 178532

Legal name
HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
Doing business as
GIRARD MEDICAL CENTER OF FRONTENAC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 13, 2005
Last certification
Jul 5, 2011
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
1011 N Highway 69
Frontenac, KS 66763-8100
Related CCNs
178532, 170098

Other NPIs with the same Medicare PAC ID 10

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

National Provider Directory

National Provider Directory
Tax ID family
James T Wilkins MD19 organizations share this tax ID, including this one
Part of
James T Wilkins MD

Other organizations with this tax ID 18

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

View all 18

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
Nancy E George Individual Corporate Director Dec 16, 2004
Hospital District No 1 Crawford County Organization, Girard, KS Operational/Managerial Control Jan 1, 2006 100%
Ruth Duling Individual Corporate OfficerCeo Sep 1, 2017 100%
W-2 Managing EmployeeCeo Sep 1, 2017 100%
Holly a Koch Individual W-2 Managing Employee Jan 2, 2007

Owners & managing parties with NPI records 10

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

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Girard Medical CenterGirard, KS, CCN 17M376 Hospital Operational/Managerial Control (100%) Jun 30, 2025
Girard Medical Center of CherokeeCherokee, KS, CCN 178520 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2006
Girard Medical Center Health ClinicGirard, KS, CCN 178552 Rural health clinic Other (100%) Jan 1, 2016
Girard Medical Center of ArmaArma, KS, CCN 178622 Rural health clinic Operational/Managerial Control (100%) Sep 1, 2017

Owned or controlled facilities with NPI records 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1992733539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N HIGHWAY 69",
            "city": "FRONTENAC",
            "state": "KS",
            "postal_code": "667638100",
            "telephone_number": "620-235-1377",
            "fax_number": "620-235-1558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N HIGHWAY 69",
            "city": "FRONTENAC",
            "state": "KS",
            "postal_code": "667638100",
            "telephone_number": "620-235-1377",
            "fax_number": "620-235-1558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY",
        "enumeration_date": "2006-06-30",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "620-724-8291"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KS",
            "license": "H-019-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100004200N",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Girard Medical Center of Frontenac",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Girard Medical Center of Frontenac",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frontenac, KS

Sources for this page

Verify at the official NPI Registry.