MEDICINE LODGE MEMORIAL HOSPITAL (NPI# 1114952975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114952975 |
| Entity Type | Organization |
| Organization Name | MEDICINE LODGE MEMORIAL HOSPITAL |
| Practice Address |
701 N Walnut St Drawer 'c' Medicine Lodge KS 67104-1018 |
| Practice Telephone | 6208863771 |
| Practice Fax Number | 6208865012 |
| Mailing Telephone | 6208863771 |
| Mailing Fax Number | 6208865012 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KEVIN A. WHITE (ADMINISTRATOR) |
| Authorized Official Telephone | 6208863771 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 275N00000X | Medicare Defined Swing Bed Unit | H004002 | KS | Hospital Units |
| X | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
H004002 | KS | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083702369 | Medicine Lodge Memorial Hospital | Clinic/Center | 710 N. Walnut St., Drawer 'c', Medicine Lodge, KS 67104-1019 | 2006-10-11 |
| 1407887193 | Medicine Lodge Memorial Hospital | General Acute Care Hospital | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2006-07-05 |
| 1831287291 | Medicine Lodge Memorial Hospital | Nurse Anesthetist, Certified Registered | 710 N. Walnut St., Drawer 'c', Medicine Lodge, KS 67104-1019 | 2006-10-11 |
| 1609979004 | Medicine Lodge Memorial Hospital | Ambulance | 710 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1019 | 2006-09-07 |
| 1902822075 | Medicine Lodge Memorial Hospital | Clinic/Center | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2006-07-14 |
| 1285669929 | Medicine Lodge Memorial Hospital | Clinic/Center | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2006-07-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MEDICINE LODGE MEMORIAL HOSPITAL & PHYSI | 710 N Walnut St, Medicine Lodge, KS 67104-1019 |
| Street Address |
701 N WALNUT ST DRAWER 'C' |
| City | MEDICINE LODGE |
| State | KS |
| Zip Code | 67104-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407887193 | Medicine Lodge Memorial Hospital | General Acute Care Hospital | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2006-07-05 |
| 1750437463 | Medicine Lodge Community Health Foundation | Respite Care | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2007-01-26 |
| 1831208701 | Medicine Lodge Memorial Hospital Physicians Clinc | Clinic/Center | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2006-08-30 |
| 1902822075 | Medicine Lodge Memorial Hospital | Clinic/Center | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2006-07-14 |
| 1285669929 | Medicine Lodge Memorial Hospital | Clinic/Center | 701 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1018 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720132715 | Maydew Thibault Optometry LLC | Optometrist | 604 N Walnut, Medicine Lodge, KS 67104 | 2007-01-23 |
| 1609200682 | Freeman Pharmacy LLC | Pharmacy | 126 N Main St, Medicine Lodge, KS 67104 | 2013-08-27 |
| 1013004225 | J C H Consulting Inc | Durable Medical Equipment & Medical Supplies | 126 N Main St, Medicine Lodge, KS 67104 | 2006-10-07 |
| 1083702369 | Medicine Lodge Memorial Hospital | Clinic/Center | 710 N. Walnut St., Drawer 'c', Medicine Lodge, KS 67104-1019 | 2006-10-11 |
| 1538135389 | Patricia Mcnamar | Nurse Practitioner | 710 N Walnut St, Medicine Lodge, KS 67104-1019 | 2006-02-23 |
| 1508398637 | Megan Nelson | Nurse Practitioner | 710 N Walnut St, Medicine Lodge, KS 67104-1019 | 2017-03-29 |
| 1407288640 | Christopher P. Martin | Registered Nurse | 710 N Walnut St, Medicine Lodge, KS 67104-1019 | 2013-07-30 |
| 1831287291 | Medicine Lodge Memorial Hospital | Nurse Anesthetist, Certified Registered | 710 N. Walnut St., Drawer 'c', Medicine Lodge, KS 67104-1019 | 2006-10-11 |
| 1609979004 | Medicine Lodge Memorial Hospital | Ambulance | 710 N Walnut St, Drawer 'c', Medicine Lodge, KS 67104-1019 | 2006-09-07 |
| 1154436251 | Donald R. Ransom | Surgery | 710 N Walnut St, Medicine Lodge, KS 67104-1019 | 2006-08-20 |
| Find all providers in zip 67104 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801976857 | Meade Hospital District | Medicare Defined Swing Bed Unit | 510 East Carthage, Meade, KS 67864-0820 | 2006-10-16 |
| 1487749602 | Great Plains of Ellinwood, Inc. | Medicare Defined Swing Bed Unit | 605 North Main, Ellinwood, KS 67526 | 2006-10-04 |
| 1952495939 | Citizens Medical Center, Inc | Medicare Defined Swing Bed Unit | 100 East College Drive, Colby, KS 67701-3799 | 2006-10-03 |
| 1235231697 | Hamilton County Hospital | Medicare Defined Swing Bed Unit | 700 N. Huser, Syracuse, KS 67878-0948 | 2006-09-05 |
| 1346342771 | Mcpherson Hospital, Inc. | Medicare Defined Swing Bed Unit | 1000 Hospital Drive, Mcpherson, KS 67460 | 2006-09-05 |
| 1285640912 | Mercy Hospital Inc | Medicare Defined Swing Bed Unit | 218 E. Pack Street, Moundridge, KS 67107-0180 | 2006-08-01 |
| 1063489219 | Stevens County Hospital | Medicare Defined Swing Bed Unit | 1006 Jackson Street, Hugoton, KS 67951 | 2006-03-07 |
| 1659348589 | Community Memorial Healthcare, Inc. | Medicare Defined Swing Bed Unit | 708 N 18th St, Marysville, KS 66508-1338 | 2006-02-28 |
| 1316937428 | Wichita County Health Center | Medicare Defined Swing Bed Unit | 211 East Earl, Leoti, KS 67861-9802 | 2005-10-28 |
| 1679572721 | Ascension Via Christi Hospital Manhattan, Inc. | Medicare Defined Swing Bed Unit | 1823 College Ave., Manhattan, KS 66502-3381 | 2005-07-20 |
| Find all providers with the same taxonomy | ||||
| City | MEDICINE LODGE |
| Zip Code | 67104 |
Please comment or provide details below to improve the information on MEDICINE LODGE MEMORIAL HOSPITAL.
| 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.