MINNEOLA DISTRICT HOSPITAL (NPI# 1023199908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023199908 |
| Entity Type | Organization |
| Organization Name | MINNEOLA DISTRICT HOSPITAL |
| Other Organization Name | MINNEOLA DISTRICT HOSPITAL LONG TERM CARE UNIT |
| Practice Address |
207 Chestnut Street Minneola KS 67865-8511 |
| Mailing Address |
Po Box 127 Minneola KS 67865-0127 |
| Practice Telephone | 6208854238 |
| Practice Fax Number | 6208854479 |
| Mailing Telephone | 6208854238 |
| Mailing Fax Number | 6208854479 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2014-03-18 |
| Authorized Official Name | DEBBIE BRUNER (CEO) |
| Authorized Official Telephone | 6208854264 |
| Is Organization Subpart | Y |
| Parent Organization Name | MINNEOLA DISTRICT HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 17E470 | KS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200251270A | 05 |
| Other Name | Type Code |
|---|---|
| Minneola District Hospital Long Term Care Unit | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447440318 | Minneola District Hospital | Home Health | 212 Main St, Minneola, KS 67865-0127 | 2007-07-27 |
| 1568545747 | Minneola District Hospital | Medicare Defined Swing Bed Unit | 212 Main St, Minneola, KS 67865-8511 | 2006-10-23 |
| 1376625749 | Minneola District Hospital | Family Medicine | 101 N Ford Ave, Bucklin, KS 67834-3460 | 2006-10-19 |
| 1811086093 | Minneola District Hospital | Family Medicine | 222 Main St, Bloom, KS 67865-8511 | 2006-10-12 |
| 1700975729 | Minneola District Hospital | Family Medicine | 404 Main Street, Fowler, KS 67844-0462 | 2006-10-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MINNEOLA DISTRICT HOSPITAL | 212 Main St, Minneola, KS 67865-8511 |
| Street Address |
207 CHESTNUT STREET |
| City | MINNEOLA |
| State | KS |
| Zip Code | 67865-8511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508253055 | Franchesca Schandevel | Family Medicine | 212 Main. St, Minneola, KS 67865 | 2015-04-22 |
| 1891708509 | Jan R Granados | Pharmacist | 131 S. Main St, Minneola, KS 67865 | 2006-08-14 |
| 1346692019 | Julie Crotts | Nurse Practitioner | 222 Main St, Minneola, KS 67865 | 2016-07-06 |
| 1699162149 | Nathan Schandevel | Family Medicine | 212 Main St, Minneola, KS 67865 | 2015-04-22 |
| 1447353503 | Minneola Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 131 S Main St, Minneola, KS 67865 | 2006-09-06 |
| 1447440318 | Minneola District Hospital | Home Health | 212 Main St, Minneola, KS 67865-0127 | 2007-07-27 |
| 1659468924 | Anthony D Luna | Family Medicine | 222 Main Street, Box 127, Minneola, KS 67865-0127 | 2006-10-06 |
| 1770816340 | Minneola Schools Usd# 219 | Clinic/Center | 111 East Locust, Minneola, KS 67865-0157 | 2009-09-14 |
| 1508324021 | Minneola Pharmacy Inc | Pharmacy | 131 S. Main St., Minneola, KS 67865-0460 | 2019-03-04 |
| 1013009828 | Minneola District Hospital Nbr 2 | General Acute Care Hospital | 212 Main Street, Minneola, KS 67865-8511 | 2006-09-29 |
| Find all providers in zip 67865 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474901 | James I Chou Dds Pa | Nursing Facility/Intermediate Care Facility | 5216 Park St, Shawnee, KS 66216-1141 | 2020-07-10 |
| 1902348865 | Good Shepherd Villages, Inc | Nursing Facility/Intermediate Care Facility | 613 3rd St, Summerfield, KS 66541-8619 | 2016-11-09 |
| 1598215428 | Lucyanne Moraa Okwomi | Nursing Facility/Intermediate Care Facility | 6402 W 89th St, #4, Overland Park, KS 66212-6059 | 2016-10-04 |
| 1972976439 | Franklin Healthcare of Peabody, LLC | Nursing Facility/Intermediate Care Facility | 500 Peabody Ave, Peabody, KS 66866-1206 | 2015-11-05 |
| 1073932950 | Loving Care of Mcpherson | Nursing Facility/Intermediate Care Facility | 1411 Dover Rd, Mcpherson, KS 67460-1722 | 2014-04-08 |
| 1649608282 | Trudy Hansen | Nursing Facility/Intermediate Care Facility | 200 S 14th St, Parsons, KS 67357-4201 | 2013-10-16 |
| 1922446350 | Maize Ccrc, LLC | Nursing Facility/Intermediate Care Facility | 505 N Maize Rd, Wichita, KS 67212-4689 | 2013-06-07 |
| 1194006213 | Rehabcare | Nursing Facility/Intermediate Care Facility | 124 S Skyline Dr, Salina, KS 67401-1627 | 2011-09-01 |
| 1285929489 | Brenda Jo Zeller | Nursing Facility/Intermediate Care Facility | 22459 Greenwood Rd, Belvue, KS 66407-9406 | 2011-06-15 |
| 1669782231 | Gracious Senior Living, LLC | Nursing Facility/Intermediate Care Facility | 551 S. Holland, Wichita, KS 67209 | 2010-10-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.