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PIONEER MANOR
NPI 1669461489
Nursing Facility/Intermediate Care Facility in Hugoton, KS

Active since October 14, 2005CLIA 17D0924218 · Waiver
6TH ST AND S POLK, HUGOTON, KS 67951(620) 544-2023 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pioneer Manor NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PIONEER MANOR (NPI 1669461489) is a healthcare organization registered as a nursing facility/intermediate care facility in Hugoton, Kansas and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through January 22, 2027 and lists Lori L Rodriguez, Administrator, as its authorized official.

NPPES Registry Identity

NPI1669461489
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NamePIONEER MANOR
Location Address6TH ST AND S POLKHugoton, KS 67951-0758
Mailing AddressPo Box 758, 6th And PolkHugoton, KS 67951-0758 · (620) 544-2023 · Fax (620) 544-4073
Phone(620) 544-2023
Organization SubpartNo
Authorized OfficialLori L RodriguezAdministrator · (620) 544-2023
Enumeration DateOctober 14, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1669461489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in KS · 17E546
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
6TH ST AND S POLK, Hugoton, KS 67951
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D0924218

Stevens County Hospital Ltcu Dba Pioneer Manor · Hugoton, KS
Active · expires Jan 22, 2027
CLIA Number17D0924218
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 23, 2025
Certificate Expiration DateJanuary 22, 2027
Laboratory DirectorNoreen M. Clymer
Laboratory Phone(620) 544-2023
Laboratory LocationStevens County Hospital Ltcu Dba Pioneer Manor1711 S Main Street, Hugoton, KS 67951
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pioneer Manor's NPI number?

The NPI number for Pioneer Manor is 1669461489. It was assigned to this organization in the NPPES registry on October 14, 2005.

Where is Pioneer Manor located?

Pioneer Manor is located at 6th St And S Polk, Hugoton, KS 67951. The listed phone number is (620) 544-2023.

What is Pioneer Manor's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Pioneer Manor hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0924218) is associated with this NPI, valid through January 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pioneer Manor was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.