EDWARDS COUNTY HOSPITAL LIFE CARE UNIT
NPI 1215122429
Clinic/Center - Critical Access Hospital in Kinsley, KS

NPI Status: Active since September 11, 2007

Contact Information

620 WINCHESTER AVE
KINSLEY, KS
ZIP 67547
Phone: (620) 659-3621
Fax: (620) 659-3869

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  • Organization
  • Clinic/Center
  • Critical Access Hospital
  • CLIA Number: 17D0452770
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 10-09-2026

About EDWARDS COUNTY HOSPITAL LIFE CARE UNIT

This page provides the complete NPI Profile along with additional information for Edwards County Hospital Life Care Unit, a provider established in Kinsley, Kansas operating as a Clinic/center, focusing in critical access hospital . The healthcare provider is registered in the NPI registry with number 1215122429 assigned on September 2007. The practitioner's primary taxonomy code is 261QC0050X with license number 261QC0050X (KS). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Edwards County Hospital Life Care Unit. The authorized official of this NPI record is Mr. Robert Krickbaum (Chief Executive Officer)

NPI
1215122429
Provider Legal Name
EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER
Other Organization Name
EDWARDS COUNTY HOSPITAL LIFE CARE UNIT
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
620 WINCHESTER AVE KINSLEY, KS 67547
Location Phone
(620) 659-3621
Location Fax
(620) 659-3869
Mailing Address
620 W 8TH ST KINSLEY, KS 67547
Mailing Phone
(620) 659-3621
Mailing Fax
(620) 659-3869
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-11-2007
Last Update Date
09-10-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Critical Access Hospital

Taxonomy Code
261QC0050X
Type
Ambulatory Health Care Facilities
License No.
261QC0050X
License State
KS
Taxonomy Description
An outpatient entity, facility, or distinct part of a facility within or affiliated with a Critical Access Hospital that provides access to primary care services for individuals in a small rural community and is Medicare certified.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. ROBERT KRICKBAUM

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(620) 659-3621

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
17M317MEDICARE OSCAR/CERTIFICATION (06)KS 
100103110AMEDICAID (05)KS 
016623MEDICARE OSCAR/CERTIFICATION (06) 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
17D0452770
Facility Type
Hospital
Certificate Effective Date
October 10, 2024
Certificate Expiration Date
October 09, 2026
Laboratory Director
ERNEST J. BINDER
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Edwards County Hospital Life Care Unit after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for EDWARDS COUNTY HOSPITAL LIFE CARE UNIT

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1215122429, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
2
Doubled → 4
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 2 → 4 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 2 + 2 + 4 + 4 + 4 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1215122429.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Skilled Nursing Facility
620 WINCHESTER AVE
KINSLEY, KS 67547
Clinic/Center (Adult Day Care)
620 WINCHESTER AVE
KINSLEY, KS 67547
Physical Therapy Assistant
620 WINCHESTER AVE
KINSLEY, KS 67547

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215122429, enumerated as an "organization" on September 11, 2007.

The provider is located at 620 WINCHESTER AVE KINSLEY, KS 67547 and the phone number is (620) 659-3621.

Clinic/Center with taxonomy code 261QC0050X and a focus in Critical Access Hospital.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.