Organization Active NPI

Hospital District No. 1 of Dickinson County, Kansas

Doing business as Memorial Hospital

  • Critical Access Hospital
  • Abilene, KS
National Provider Identifier
1992759633
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
H 021 001 Issued in KS
Legal business name
HOSPITAL DISTRICT NO. 1 OF DICKINSON COUNTY, KANSAS
Doing business as
Memorial Hospital
Practice address
511 NE 10TH St
Abilene, KS 67410-2153
Phone
(785) 263-2100
Fax
(785) 263-6677
NPI assigned
May 19, 2006
Last updated
Aug 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Kimberly A Haverly
Title
Ceo
Phone
(785) 263-6610

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Critical Access Hospital 282NC0060X H 021 001 KS Primary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

511 NE 10TH St
Abilene, KS 67410-2153

Mailing address

511 NE 10TH St
Abilene, KS 67410-2153
Phone (785) 263-2100

Other names 1

  • Memorial Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050119001056 KS Part B Supplier - Clinic/Group Practice 3274440268 Receives reassigned benefits from 35 practitioners
3 other NPIs on this enrollment
Practice locations: Abilene, KS
O20061104000251 KS Part A Provider - Critical Access Hospital 3274440268 Receives reassigned benefits from 34 practitioners
Practice locations: Abilene, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992759633. Details of each certification follow.

Hospital certification: CCN 171381

Legal name
HOSPITAL DISTRICT NO 1 OF DICKINSON COUNTY KANSAS
Doing business as
MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 1, 2005
Last certification
Jul 26, 2018
Beds
25
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
511 NE 10TH St
Abilene, KS 67410-2153

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Memorial HospitalCCN 171381 · All quality measures
Overall star rating
2 of 5
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Tori Bowers Individual Corporate DirectorCfo Dec 21, 2025
W-2 Managing Employee Apr 6, 2020
Salina Regional Health Center Inc Organization, Salina, KS Non-profit Operational/Managerial Control Jan 1, 2022 100%
James Dennis Biggs Individual Corporate Director Apr 1, 2015
Hospital District No 1 of Dickinson County Kansas Organization, Abilene, KS For-profit Operational/Managerial Control Nov 27, 2017
Kimberly Haverly Individual Corporate DirectorCeo / Administrator Jun 30, 2025
W-2 Managing EmployeeAd; Jun 30, 2025
Karman Diehl Individual OtherBoard Member Jan 1, 2024
Kent P. Wyatt Individual OtherBoard Member Nov 1, 2021
Carol a Whitehair Individual OtherBoard Member Jan 13, 2026
Joseph Steven Schwarting Individual Corporate Director Jan 26, 2004

Owners & managing parties with NPI records 9

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Memorial HospitalAbilene, KS, CCN 17Z381 Hospital Operational/Managerial Control Nov 27, 2017

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 11

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

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

Affiliated clinicians 134

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

View all 134

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1992759633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 NE 10TH ST",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674102153",
            "telephone_number": "785-263-2100",
            "fax_number": "785-263-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 NE 10TH ST",
            "city": "ABILENE",
            "state": "KS",
            "postal_code": "674102153",
            "telephone_number": "785-263-2100",
            "fax_number": "785-263-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL DISTRICT NO. 1 OF DICKINSON COUNTY, KANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "HAVERLY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-263-6610"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "KS",
            "license": "H 021 001",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Memorial Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Abilene, KS

Sources for this page

Verify at the official NPI Registry.