JEWELL COUNTY HOSPITAL (NPI# 1386689586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386689586 |
| Entity Type | Organization |
| Organization Name | JEWELL COUNTY HOSPITAL |
| Other Organization Name | JEWELL COUNTY RURAL HEALTH CLINIC |
| Practice Address |
102 S Center St Mankato KS 66956-2202 |
| Mailing Address |
100 Crestvue Ave Mankato KS 66956-2407 |
| Practice Telephone | 7853783511 |
| Practice Fax Number | 7853783919 |
| Mailing Telephone | 7853783137 |
| Mailing Fax Number | 7853783450 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2014-10-16 |
| Authorized Official Name | KRISTA SILSBY (CFO) |
| Authorized Official Telephone | 7853783137 |
| Is Organization Subpart | Y |
| Parent Organization Name | JEWELL COUNTY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
H045001 | KS | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS BLUE SHIELD KS | 110421 | 01 |
| KS | 100099530B | 05 | |
| KS | FIRSTGUARD | 664280 | 01 |
| Other Name | Type Code |
|---|---|
| Jewell County Rural Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336184647 | Jewell County Hospital | General Acute Care Hospital | 100 Crestvue Ave, Mankato, KS 66956-2407 | 2006-06-19 |
| 1447418827 | Jewell County Hospital | General Practice | 100 Crestvue Ave, Mankato, KS 66956-2407 | 2008-06-02 |
| 1811925290 | Jewell County Hospital | Medicare Defined Swing Bed Unit | 100 Crestvue Ave, Mankato, KS 66956-2407 | 2006-06-28 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JEWELL COUNTY HOSPITAL | 100 Crestvue Ave, Mankato, KS 66956-2407 |
| Street Address |
102 S CENTER ST |
| City | MANKATO |
| State | KS |
| Zip Code | 66956-2202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609815364 | Leon Hughes | Physician Assistant | 102 S Center St, Mankato, KS 66956-2202 | 2006-06-06 |
| 1134157514 | Marilyn Dunstan | Nurse Practitioner | 102 S Center St, Mankato, KS 66956-2202 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750361754 | John W Bleecker | Dentist | 123 N Commercial, Mankato, KS 66956 | 2006-01-18 |
| 1275519613 | County of Jewell | Ambulance | 510 E North St, Mankato, KS 66956-1850 | 2005-12-19 |
| 1760487656 | County of Jewell | Public Health or Welfare | 307 N Commercial St Ste 2, Mankato, KS 66956-2025 | 2005-06-16 |
| 1508182916 | John R Tyler | Chiropractor | 201 N Commercial St, Mankato, KS 66956-2028 | 2010-04-09 |
| 1497741748 | Dauner Pharmacies Chtd | Pharmacy | 125 N Commercial St, Mankato, KS 66956-2206 | 2005-09-22 |
| 1285779371 | Lyle R Dauner | Pharmacist | 125 N Commercial St, Mankato, KS 66956-2206 | 2007-02-20 |
| 1306079686 | Usd 107 | Local Education Agency (LEA) | 109 E Main St, Mankato, KS 66956-2214 | 2009-09-02 |
| 1336184647 | Jewell County Hospital | General Acute Care Hospital | 100 Crestvue Ave, Mankato, KS 66956-2407 | 2006-06-19 |
| 1447418827 | Jewell County Hospital | General Practice | 100 Crestvue Ave, Mankato, KS 66956-2407 | 2008-06-02 |
| 1518148071 | Susan Broeckelman | Dietitian, Registered | 100 Crestvue Ave, Mankato, KS 66956-2407 | 2007-11-26 |
| Find all providers in zip 66956 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229488 | Haskell Regional Hospital, Inc. | Clinic/Center | 429 Maple St, Chetopa, KS 67336-9101 | 2020-09-11 |
| 1720609738 | Meade Hospital District | Clinic/Center | 304 N Aztec St, Montezuma, KS 67867-8874 | 2020-04-30 |
| 1720639644 | Labette County Medical Center | Clinic/Center | 613 Maple Street, Chetopa, KS 67336 | 2019-09-23 |
| 1134774821 | Morris County Hospital | Clinic/Center | 106 W Mackenzie St, White City, KS 66872-9797 | 2019-08-08 |
| 1487192845 | Clay County Medical Center | Clinic/Center | 701 Schurle Way, Riley, KS 66531 | 2017-02-06 |
| 1295284842 | Coffeyville Regional Medical Center, Inc. | Clinic/Center | 122 W Myrtle St Lowr Level, Independence, KS 67301-3317 | 2016-09-23 |
| 1154787190 | Labette County Medical Center | Clinic/Center | 510 Peter Pan Rd Ste B, Independence, KS 67301-7300 | 2016-01-06 |
| 1326416025 | Morton County Hospital | Clinic/Center | 415 Washington, Rolla, KS 67954 | 2015-09-11 |
| 1083043012 | Cah Acquisition Company 2 LLC | Clinic/Center | 1708 Corning Ave, Parsons, KS 67357 | 2013-11-12 |
| 1003152430 | Rural Health Resources of Jackson Co Inc | Clinic/Center | 323 2nd St, Wetmore, KS 66550-9618 | 2012-12-12 |
| 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.