Saint Lukes Hospital of Garnett Inc
Organization Active NPI Medicare Defined Swing Bed Hospital Unit · Garnett, KS
NPI 1992779003 · NPPES record last updated Nov 25, 2024
Key facts
- NPI
- 1992779003
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medicare Defined Swing Bed Hospital Unit 275N00000X
- Legal business name
- SAINT LUKES HOSPITAL OF GARNETT INC
- Practice address
- 421 S Maple St
Garnett, KS 66032-1334 - Phone
- (785) 448-3131
- NPI assigned
- Feb 15, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- SAINT LUKES HOSPITAL OF GARNETT INC
Authorized official
- Name
- Ms. Erin Parde
- Title
- Cfo
- Phone
- (816) 880-5277
Owners & managing parties with NPI records 1
-
Mackenzie Peterson, M.D.
Other NPIs with the same Medicare PAC ID 3
Corporate family (same tax ID) 8
Related certifications (CCN) 3
Facilities with the same owner 33
Practitioners 16
-
Cecilia Mathis, MD
-
Megan Kathryn Morriss, M.D.
-
Shana E Pedrow, ARNP
-
Mackenzie Peterson, M.D.
-
Christy M Winter, PA-C
-
Travis Eugene Devader, M.D.
-
Ryan J Gallagher, MD
-
Amanda Elizabeth Howard, CRNA
-
Adam Joseph Madl, DO
-
Daniel G Holmes, MD
-
Aaron Matthew Kaus, M.D.
Affiliated clinicians 6
-
Alan Keith Doty, DO
-
Galen W Epp, M.D.
-
Dung Mac, MD
-
Vu Nguyen, D.O.
-
Robert William Reid, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Hospital certification: CCN 17Z316
- Legal name
- SAINT LUKES HOSPITAL OF GARNETT INC
- Doing business as
- ANDERSON COUNTY HOSPITAL
- Organization structure
- Corporation · Non-profit
- Enrollment address
- 421 S Maple St
Garnett, KS 66032-1334
All disclosed owners & managing parties 10
| Name | Role | Since | Share |
|---|---|---|---|
| Michael Barnes |
Corporate Director |
Jan 1, 2023 | |
| Darren Bass |
Corporate Officer |
Sep 1, 2023 | |
| Corporate Director |
Jan 1, 2026 | ||
| W-2 Managing Employee | Sep 1, 2023 | ||
| Operational/Managerial Control |
Sep 1, 2023 | ||
| Damon Stone |
Corporate Director |
Jan 1, 2023 | |
| Mackenzie Alynne Peterson |
Corporate Officer | Jan 1, 2010 | |
| Saint Lukes Health System Inc |
5% Or Greater Direct Ownership Interest | Apr 1, 2006 | 100% |
| Damara L Harper |
Corporate Officer |
Jan 1, 2026 | |
| Operational/Managerial Control |
Jan 1, 2026 | ||
| BJC Health System |
5% Or Greater Indirect Ownership Interest | Jan 1, 2024 | 100% |
| William P Patton |
W-2 Managing Employee |
Sep 9, 2024 | |
| Scott Hawig |
Corporate Officer |
Jan 1, 2026 | |
| Operational/Managerial Control |
Jan 1, 2026 | ||
| David R Lybarger |
Corporate Officer | Jan 1, 2009 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070226000559 | KS | Part a Provider - Critical Access Hospital | 8729071691 | Practice locations: Garnett, KS |
National Provider Directory
- Tax ID family
- Anderson Co Hospital PT
- Part of
- Anderson Co Hospital PT
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medicare Defined Swing Bed Hospital Unit | 275N00000X | Yes |
Addresses
Primary practice location
421 S Maple St
Garnett, KS 66032-1334
Mailing address
PO Box 309
Garnett, KS 66032-0309
Phone (785) 448-3131
Other names
- Anderson County Hospital
Other providers in Garnett, KS
- Saint Lukes Hospital of Garnett Inc
- Saint Lukes Hospital of Garnett Inc
- Saint Lukes Hospital of Garnett Inc
- Saint Lukes Hospital of Garnett Inc
- Saint Lukes Hospital of Garnett Inc
- Saint Lukes of Garnett Inc
- Saint Lukes of Garnett Inc
- Saint Lukes of Garnett Inc
- Sandra L. Otipoby DDS
- Skahan Eyecare LLC
All providers in Garnett, KS · Medicare Defined Swing Bed Hospital Unit in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.