SOUTHWEST MEDICAL CENTER (NPI# 1407890692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407890692 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST MEDICAL CENTER |
| Other Organization Name | SKILLED NURSING FACILITY |
| Practice Address |
315 W 15th St Liberal KS 67901-2455 |
| Mailing Address |
315 W 15th Street Po Box 1340 Liberal KS 67905-1340 |
| Practice Telephone | 6206241651 |
| Practice Fax Number | 6206292472 |
| Mailing Telephone | 6206241651 |
| Mailing Fax Number | 6206292472 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2014-12-12 |
| Authorized Official Name | MR. WILLIAM ERMANN (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 6206296400 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTHWEST MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 175163 | KS | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS | 118 | 01 |
| Other Name | Type Code |
|---|---|
| Skilled Nursing Facility | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477780955 | Southwest Medical Center | Clinic/Center | 1411 W. 15th Street, Ste. 102, Liberal, KS 67901 | 2009-06-11 |
| 1497795017 | Southwest Medical Center | Durable Medical Equipment & Medical Supplies | 324 W 18th St, Liberal, KS 67901-2466 | 2006-06-08 |
| 1568979557 | Southwest Medical Center | Anesthesiology | 315 W 15th St, Liberal, KS 67901-2455 | 2017-12-29 |
| 1144493040 | Southwest Medical Center | Surgery | 305 W 15th St, Liberal, KS 67901-2455 | 2008-04-11 |
| 1447294145 | Southwest Medical Center | Psychiatric Unit | 315 W 15th Street, Liberal, KS 67901-2455 | 2006-06-15 |
| 1376583997 | Southwest Medical Center | Psychiatry & Neurology | 315 W 15th St, Liberal, KS 67901-2455 | 2006-06-08 |
| 1538109251 | Southwest Medical Center | General Acute Care Hospital | 315 W 15th Street, Liberal, KS 67901-2455 | 2006-06-08 |
| 1144260753 | Southwest Medical Center | Emergency Medicine | 315 W 15th Street, Liberal, KS 67901 | 2006-06-08 |
| 1053351668 | Southwest Medical Center | Internal Medicine | 315 W 15th St, Liberal, KS 67901-2455 | 2006-06-08 |
| Street Address |
315 W 15TH ST |
| City | LIBERAL |
| State | KS |
| Zip Code | 67901-2455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033180054 | Carmelita Caedo Md Radiology Pa | Radiology | 315 W 15th St, Liberal, KS 67901-2455 | 2006-01-28 |
| 1942867627 | Rachel Andreas | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2019-05-28 |
| 1285291955 | Lauren Taylor Boyce | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2019-05-28 |
| 1306329438 | Marlon S Bazan | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2018-09-14 |
| 1548743636 | Elyse A Bigler | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2018-09-13 |
| 1730674235 | Southwest Radiological Consultants LLC | Radiology | 315 W 15th St, Liberal, KS 67901-2455 | 2018-06-27 |
| 1568979557 | Southwest Medical Center | Anesthesiology | 315 W 15th St, Liberal, KS 67901-2455 | 2017-12-29 |
| 1083124481 | Unnati Basnyat | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2017-10-11 |
| 1932652773 | Pegasus Emergency Physicians, LLC | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2016-07-28 |
| 1720435746 | Bishal Bista | Physician Assistant | 315 W 15th St, Liberal, KS 67901-2455 | 2016-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104264803 | Juanita Elise Monroe | Registered Nurse | 515 4th St, Liberal, KS 67901 | 2013-06-05 |
| 1588917454 | Liberal Diagnostics, LLC | Clinic/Center | 23 Professional Drive, Liberal, KS 67901 | 2012-10-17 |
| 1598091001 | Sunflower Pediatrics | Pediatrics | 2132 N. Kansas Ave, Ste B, Liberal, KS 67901 | 2009-10-19 |
| 1477780955 | Southwest Medical Center | Clinic/Center | 1411 W. 15th Street, Ste. 102, Liberal, KS 67901 | 2009-06-11 |
| 1336375104 | Nchang Mantoh Azefor | Surgery | 305 W 15th St Ste 204, Liberal, KS 67901 | 2009-06-06 |
| 1114152121 | Firas I. Kawtharani | Orthopaedic Surgery | 305 W 15th St Ste 101, Liberal, KS 67901 | 2009-05-19 |
| 1871613067 | William (bill) Joseph Michael Settle | Anesthesiology | 2132 N Kansas Avenue, Suite C, Liberal, KS 67901 | 2007-03-30 |
| 1851430532 | Bruce W Jackson | Dentist | 111 Lilac Dr, Liberal, KS 67901 | 2007-02-06 |
| 1376637058 | Dr. Peter Lee D.o. | Clinic/Center | 23 East 11th, Liberal, KS 67901 | 2006-10-03 |
| 1568574002 | Terry Dee Romans | Dentist | 2110 N Grant, Liberal, KS 67901 | 2006-08-31 |
| Find all providers in zip 67901 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821106816 | Manor of Liberal Inc | Skilled Nursing Facility | 1501 S Holly Dr, Liberal, KS 67901-2156 | 2006-08-29 |
| 1013309830 | Liberal Snf Op Co LLC | Skilled Nursing Facility | 1501 S Holly Dr, Liberal, KS 67901-2156 | 2015-03-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841152 | Minneapolis Healthcare and Rehabilitation Center LLC | Skilled Nursing Facility | 815n Rothsay Street, Minneapolis, KS 67467 | 2020-11-06 |
| 1487270013 | Americare At Grand Plains Skilled Nursing and Rehabiltation LLC | Skilled Nursing Facility | 331 State Route 61, Pratt, KS 67124 | 2020-06-19 |
| 1144842287 | Logan County Senior Living Inc | Skilled Nursing Facility | 615 Price Ave, Oakley, KS 67748-2048 | 2020-05-12 |
| 1194379065 | Ignite Medical Resort A Ptr of The Univ of Kansas Health System, LLC | Skilled Nursing Facility | 3910 Rainbow Boulevard, Kansas City, KS 66103 | 2019-07-30 |
| 1235604752 | Nortonville Healthcare LLC | Skilled Nursing Facility | 412 Walnut St, Nortonville, KS 66060 | 2018-10-11 |
| 1700383759 | Ranch House Nursing Facility Operations LLC | Skilled Nursing Facility | 2900 N Campus Dr, Garden City, KS 67846-3997 | 2018-04-06 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1407355720 | Kingston Trilogy Holdings LLC | Skilled Nursing Facility | 1822 N Brunswick St, Wichita, KS 67212-1588 | 2018-02-02 |
| 1588162382 | Sunporch of Smith Center Inc | Skilled Nursing Facility | 920 E Kansas Ave, Smith Center, KS 66967 | 2018-01-26 |
| 1881104230 | Mount St Mary Inc | Skilled Nursing Facility | 3700 E Lincoln St, Wichita, KS 67218-2008 | 2017-10-11 |
| 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.