Covered Entity Details

CAH171316-01 Saint Luke’s Hospital of Garnett, Inc., dba Anderson County Hospital (Active) - information as of 6/28/2025 12:18:43 AM

Main Details

Name

Saint Luke’s Hospital of Garnett, Inc., dba Anderson County Hospital

Subdivision Name

Family Care Center

Type

Critical Access Hospital

Rural

Yes

340B ID

CAH171316-01

Medicare Provider Number

171316

Outpatient Facility Provider Number

173438

Additional Details

Current Program Status

Active

Registration Date

1/14/2015

Participating Start Date

4/1/2015

Participating Approval Date

3/13/2015

Last Recertification Date

8/13/2024

Contacts

Authorizing Official

Saint Lukes Health System
Pat Patton, Administrator
(785) 204-4006

Primary Contact

ACH
Emily McAdam, Pharmacy Coordinator
(785) 204-8096

Addresses

Street Address

536 W 4th Ave
Garnett, KS 66032

Billing Address

Saint Luke's Health System Central Accounts Payable (CAP)
P.O. BOX 5870
Kansas City, MO 64171

Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History

Comments

Comment	Last Updated On
No records to display.

Medicaid Billing

At this site, will the covered entity bill Medicaid fee-for-service for drugs purchased at 340B prices?
No

Shipping Addresses

Shipping Address 1

Saint Luke’s Hospital of Garnett, Inc., dba Anderson County Hospital
421 S MAPLE ST
GARNETT, KS 66032

Contract Pharmacies

Contract Detail	Pharmacy Name	Address	Address Cont.	City	State	Zip Code	Approval Date	Begin Date	Carve-In Effective Date	Termination Date	Last Updated On
No records to display.

Parent/Child

340B ID	Hierarchy	Entity Type	Name	Sub Name	Address	City	State	340B Status
CAH171316-01	Child	CAH	Saint Luke’s Hospital of Garnett, Inc., dba Anderson County Hospital	Family Care Center	536 W 4th Ave	Garnett	KS	Active
CAH171316-02	Child	CAH	ANDERSON COUNTY HOSPITAL	FAMILY CARE CENTER SOUTH	421 S Maple	COLONY	KS	Terminated

History

Section	Field	Action	Activity	Value Before	Value After	Timestamp
Contacts	Authorizing Official	Update	Change Request	Bass, Darren M CEO North and Critical Access Region Saint Luke's Health System 8168806214	Patton, Pat Administrator Saint Lukes Health System 7852044006	5/5/2025 3:05 PM
Details	Last Recertification Date	Update	Recertification	8/24/2023 11:06:04 AM	8/13/2024 9:27:54 AM	8/13/2024 9:27 AM
Contacts	Authorizing Official	Update	Change Request	Armstrong, Jeremy Administrator Anderson County Hospital 6203651020	Bass, Darren M CEO North and Critical Access Region Saint Luke's Health System 8168806214	5/7/2024 7:31 AM
Addresses	Shipping Address	Insert	Change Request		Saint Luke’s Hospital of Garnett, Inc., dba Anderson County Hospital 421 S MAPLE ST GARNETT, KS 66032	10/12/2023 9:45 AM
Addresses	Main Address	Update	Change Request	421 South Maple Garnett, KS 66032	536 W 4th Ave Garnett, KS 66032	10/12/2023 9:45 AM
Contacts	Authorizing Official	Update	Change Request	Schieber, Steve CEO Critical Access Region Saint Luke's Health System 6602148104	Armstrong, Jeremy Administrator Anderson County Hospital 6203651020	8/31/2023 12:37 PM
Details	Last Recertification Date	Update	Recertification	8/26/2022 3:42:24 PM	8/24/2023 11:06:04 AM	8/24/2023 11:06 AM
Details	Last Recertification Date	Update	Recertification	9/8/2021 11:27:20 AM	8/26/2022 3:42:24 PM	8/26/2022 3:42 PM
Contacts	Authorizing Official	Update	Change Request	Patterson, Elmore Administrator Allen County Hospital 6203651020	Schieber, Steve CEO Critical Access Region Saint Luke's Health System 6602148104	6/21/2022 9:00 AM
Contacts	Authorizing Official	Update	Change Request	MILLS, VICKI CHIEF FINANCIAL OFFICER Anderson County Hospital 7852044043	Patterson, Elmore Administrator Allen County Hospital 6203651020	9/10/2021 4:00 PM
Details	Last Recertification Date	Update	Recertification	8/19/2020 4:43:25 PM	9/8/2021 11:27:20 AM	9/8/2021 11:27 AM
Details	Entity Name	Update	Change Request	ANDERSON COUNTY HOSPITAL	Saint Luke’s Hospital of Garnett, Inc., dba Anderson County Hospital	7/23/2021 2:41 PM
Addresses	Main Address	Update	Change Request	421 South Maple 536 W 4th Ave Garnett, KS 66032	421 South Maple Garnett, KS 66032	7/21/2021 9:02 AM
Details	Last Recertification Date	Update	Recertification	8/27/2019 11:28:14 AM	8/19/2020 4:43:25 PM	8/19/2020 4:43 PM
Addresses	Billing Address	Insert	Change Request		Saint Luke's Health System Central Accounts Payable (CAP) P.O. BOX 5870 Kansas City, MO 64171	6/11/2020 8:13 AM
Addresses	Main Address	Update	Change Request	536 W 4th Ave Garnett, KS 66032	421 South Maple 536 W 4th Ave Garnett, KS 66032	6/11/2020 8:13 AM
Details	Last Recertification Date	Update	Recertification	8/15/2018 12:02:12 PM	8/27/2019 11:28:14 AM	8/27/2019 11:28 AM
Details	Last Recertification Date	Update	Recertification	11/28/2017 3:09:59 PM	8/15/2018 12:02:12 PM	8/15/2018 12:02 PM
Details	Last Recertification Date	Update	Recertification	8/18/2016 12:00:00 AM	11/28/2017 3:09:59 PM	11/28/2017 3:09 PM
Contacts	Authorizing Official	Update		MILLS, VICKI CHIEF FINANCIAL OFFICER 7852044043	MILLS, VICKI CHIEF FINANCIAL OFFICER Anderson County Hospital 7852044043	10/10/2017 9:02 AM
Contacts	Signed By	Update		MILLS, VICKI CHIEF FINANCIAL OFFICER 7852044043	MILLS, VICKI CHIEF FINANCIAL OFFICER Anderson County Hospital 7852044043	10/10/2017 9:02 AM
Contacts	Primary Contact	Update		McAdam, Emily Pharmacy Coordinator 7852048096	McAdam, Emily Pharmacy Coordinator ACH 7852048096	10/10/2017 8:47 AM
Addresses	Main Address	Insert			536 W 4th Ave Garnett, KS 66032	8/18/2016 1:37 PM
Contacts	Primary Contact	Insert			McAdam, Emily Pharmacy Coordinator 7852048096	8/18/2016 1:37 PM
Contacts	Authorizing Official	Insert			MILLS, VICKI CHIEF FINANCIAL OFFICER 7852044043	8/18/2016 1:37 PM
Contacts	Signed By	Insert			MILLS, VICKI CHIEF FINANCIAL OFFICER 7852044043	8/18/2016 1:37 PM
Details	Last Recertification Date	Update		8/6/2015 12:00:00 AM	8/18/2016 12:00:00 AM	8/18/2016 1:37 PM
Details	Last Recertification Date	Update			8/6/2015 12:00:00 AM	8/6/2015 4:52 PM
Dates	Participating Approval Date	Update			3/13/2015 12:00:00 AM	3/13/2015 10:19 AM
Details	State	Update		Pending	Active	3/13/2015 10:19 AM
Dates	Start Date	Update			4/1/2015 12:00:00 AM	3/13/2015 10:19 AM
Details	340B ID	Update		OUTPATIENT_ONLINE_REG_49260	CAH171316-01	1/15/2015 10:16 AM
Details	340B ID	Update			OUTPATIENT_ONLINE_REG_49260	1/14/2015 2:06 PM
Details	Last Recertification Date	Insert				1/14/2015 2:06 PM
Details	Grant Number	Insert				1/14/2015 2:06 PM
Details	340B ID	Insert				1/14/2015 2:06 PM
Details	Is Authorizing Official EHB Data	Insert				1/14/2015 2:06 PM
Dates	Last Date That 340B Drugs Purchased	Insert				1/14/2015 2:06 PM
Details	Medicare Provider Number	Insert			171316	1/14/2015 2:06 PM
Details	Entity Name	Insert			ANDERSON COUNTY HOSPITAL	1/14/2015 2:06 PM
Details	Program Code	Insert			CAH	1/14/2015 2:06 PM
Details	Entity Subname	Insert			Family Care Center	1/14/2015 2:06 PM
Dates	Participating Approval Date	Insert				1/14/2015 2:06 PM
Details	State	Insert			Pending	1/14/2015 2:06 PM
Dates	Registration Date	Insert			1/14/2015 12:00:00 AM	1/14/2015 2:06 PM
Dates	Signed By Date	Insert			1/14/2015 12:00:00 AM	1/14/2015 2:06 PM
Dates	Start Date	Insert				1/14/2015 2:06 PM
Terminations	Termination Comments	Insert				1/14/2015 2:06 PM
Terminations	Termination Date	Insert				1/14/2015 2:06 PM
Terminations	Termination Effective Date	Insert				1/14/2015 2:06 PM
Terminations	Termination Reason	Insert				1/14/2015 2:06 PM