COUNTY OF KIOWA HOSPITAL DISTRICT — NPI 1366452732 (Licensed & Credentialed Nursing and Custodial Care Facilities

CMS-1500 Box 24J / 33a • NPI

1366452732

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

313M00000X (CMS A3[10])

Licensed & Credentialed Nursing and Custodial Care Facilities — Nursing Facility

Box 32 Service Location & ZIP+4

1208 LUTHER STREET, EADS, CO, 81036

Official NPPES Practice Location

Practice Phone & Referral Fax

(719) 438-5401

Fax: (719) 438-5697

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1366452732 (COUNTY OF KIOWA HOSPITAL DISTRICT) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1366452732` (NPI-2 Organization / Facility)
Provider / Legal Name	COUNTY OF KIOWA HOSPITAL DISTRICT
Plain-English Specialty	Licensed & Credentialed Nursing and Custodial Care Facilities — Nursing Facility NUCC Code: `313M00000X` (Nursing Facility/Intermediate Care Facility)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1208 LUTHER STREET, EADS, CO, 81036
Practice Telephone / Fax	Tel: (719) 438-5401 \| Fax: (719) 438-5697
Administrative Mailing Address	PO BOX 817, EADS, CO, 81036-0817
Enumeration & Last Sync	Enumerated: 2006-08-09 \| CMS Record Updated: 2024-11-07
Authorized Official	SHANNON DIXON (CFO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1208 LUTHER STREET, EADS, CO, 81036

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Plain-English Taxonomy & CMS Crosswalk (313M00000X)

What Does Taxonomy Code 313M00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 313M00000X translates to:
"Licensed & Credentialed Nursing and Custodial Care Facilities — Nursing Facility"

CMS-1500 Medicare Specialty Crosswalk: CMS Code A3[10] (Other Nursing Facility)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Nursing Facility/Intermediate Care Facility for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (COUNTY OF KIOWA HOSPITAL DISTRICT)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`282NC0060X` — General Acute Care Hospital, Critical Access Plain English: Accredited Inpatient Medical & Surgical Hospital (24/7 Emergency & ICU Care)	State: CO \| License: `361` \| Primary: Secondary
`313M00000X` — Nursing Facility/Intermediate Care Facility Plain English: Licensed & Credentialed Nursing and Custodial Care Facilities — Nursing Facility	State: CO \| License: `1003` \| Primary: Yes (Primary)
`341600000X` — Ambulance Plain English: Licensed Emergency Medical Services (EMS) — BLS/ALS Ground & Air Ambulance	State: N/A \| License: `Verified` \| Primary: Secondary

Medical Billing, RCM & Hospital Credentialing Teams:

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COUNTY OF KIOWA HOSPITAL DISTRICT (NPI #1366452732)