MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS (NPI# 1215066360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215066360 |
| Entity Type | Organization |
| Organization Name | MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS |
| Other Organization Name | MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS NURSING HOME |
| Practice Address |
400 West 8th St Beloit KS 67420 |
| Mailing Address |
Po Box 399 Beloit KS 67420-0399 |
| Practice Telephone | 7857382266 |
| Practice Fax Number | 7857389503 |
| Mailing Telephone | 7857382266 |
| Mailing Fax Number | 7857389503 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ELDON KOEPKE (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7857382266 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Mitchell County Hospital Health Systems Nursing Home | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578651030 | Mitchell County Hospital Health Systems | Hospice Care, Community Based | 111 E. Court, Beloit, KS 67420-1605 | 2006-10-10 |
| 1427151992 | Mitchell County Hospital Health Systems | General Acute Care Hospital | 400 West 8th Street, Beloit, KS 67420-0399 | 2006-09-07 |
| 1245369511 | Mitchell County Hospital Health Systems | Nurse Anesthetist, Certified Registered | 400 West 8th St, Beloit, KS 67420 | 2007-03-05 |
| 1396883054 | Mitchell County Hospital Health Systems | Pharmacy | 400 W 8th St, Beloit, KS 67420-1605 | 2007-02-02 |
| 1396843116 | Mitchell County Hospital Health Systems | Psychiatric Unit | 400 West 8th Street, Beloit, KS 67420-0399 | 2006-09-20 |
| 1053415273 | Mitchell County Hospital Health Systems | General Acute Care Hospital | 400 West 8th Street, Beloit, KS 67420-0399 | 2006-09-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS | 400 W 8th St, Beloit, KS 67420-1605 |
| Street Address |
400 WEST 8TH ST |
| City | BELOIT |
| State | KS |
| Zip Code | 67420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245369511 | Mitchell County Hospital Health Systems | Nurse Anesthetist, Certified Registered | 400 West 8th St, Beloit, KS 67420 | 2007-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952587123 | Deidra Kay Burks | Occupational Therapist | 815 N Independence, Beloit, KS 67420 | 2008-01-17 |
| 1861675514 | Kimberlee Joy Budke | Occupational Therapist | 815 North Independence, Beloit, KS 67420 | 2007-12-17 |
| 1902092000 | Mod Solution LLC | Occupational Therapist | 605 North Hersey, Beloit, KS 67420 | 2007-09-21 |
| 1164554408 | Cathleen Joyce Kelly | Occupational Therapist | 120 N Lincoln Ave, Beloit, KS 67420 | 2007-03-12 |
| 1982777421 | Jerome M Carrico | Family Medicine | 120 N Mill, Beloit, KS 67420 | 2006-11-15 |
| 1700972882 | Robert A. Miller | Nurse Anesthetist, Certified Registered | 400 W 8th, Beloit, KS 67420 | 2006-10-05 |
| 1629007877 | Mark W Rothfuss | Counselor | 207 N Mill St Ste 5, Beloit, KS 67420 | 2006-07-01 |
| 1023086998 | County of Mitchell | Ambulance | 1906 Highway 14, Beloit, KS 67420 | 2006-03-08 |
| 1811288160 | Mark Edward Banker | Surgery | 400 West 8th Street, Beloit, KS 67420 | 2011-04-20 |
| 1184613945 | Rickey Shane Thompson | Dentist | Us Hwy 491 North, Shiprock, NM 67420 | 2005-10-14 |
| Find all providers in zip 67420 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558971648 | Tracy Delois Allen | Custodial Care Facility | 2734 N Wellesley Ave, Wichita, KS 67220-2408 | 2020-08-04 |
| 1043841174 | Selah Home LLC | Custodial Care Facility | 15834 Sw Butler Rd, Rose Hill, KS 67133-8549 | 2020-01-28 |
| 1881238681 | Goshen Home Care Inc. | Custodial Care Facility | 9939 Foster St, Overland Park, KS 66212-2452 | 2019-11-05 |
| 1952962870 | Harmony House Home Plus LLC | Custodial Care Facility | 400 N Peterson Ave, Wichita, KS 67212-3732 | 2019-06-21 |
| 1508329905 | Karaway LLC | Custodial Care Facility | 1815 Sw Westwood Cir, Topeka, KS 66604-3269 | 2019-04-11 |
| 1023574209 | Unified Care Homes, Inc. | Custodial Care Facility | 5705 E Rockhill, Wichita, KS 67208 | 2019-02-13 |
| 1881175966 | Rl Fountainwood 2 | Custodial Care Facility | 2000 Fountainwood, Hutchinson, KS 67502-2662 | 2018-08-27 |
| 1306335328 | Anthem Overland Park Management, LLC | Custodial Care Facility | 6921 W 81st St, Overland Park, KS 66204-3913 | 2018-05-04 |
| 1518470186 | Rl Dodge City 1 | Custodial Care Facility | 2800 6th Ave, Dodge City, KS 67801-2478 | 2017-11-06 |
| 1801322714 | Ultra Care Home Plus LLC | Custodial Care Facility | 11537 E Harry St, Wichita, KS 67207-6225 | 2017-05-11 |
| 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.