Cloud County Health Center Inc
Organization Active NPI Clinic/Center · Concordia, KS
NPI 1003950189 · NPPES record last updated Jul 7, 2026
Key facts
- NPI
- 1003950189
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- CLOUD COUNTY HEALTH CENTER INC
- Practice address
- 155 West College Drive
Concordia, KS 66901 - Phone
- (785) 243-4272
- Fax
- (785) 243-4275
- NPI assigned
- Feb 20, 2007
- Organization subpart
- No
Authorized official
- Name
- Curtis Hawkinson
- Title
- Administrator
- Phone
- (785) 243-1234
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 3
Practitioners 23
-
Dorothy Breault, M.D.
-
Mayra Alejandra Brooks, APRN
-
Kai Thomas Englert, P.A.
-
Brandon K Fraley, PA
-
Daniel J Garlow, M.D.
-
Lori J Golbek, APRN
-
Sara M Hake, PMHNP
-
Justin M. Poore, D.O.
-
Devon Elise Shearmire, P.A.
-
Layce L. Siemsen, P.A.-C
-
Robert Sourk, MD
-
Damandeep Singh Walia, M.B.B.S.
-
Jeffrey John McCroskey, PA-C
-
Gary Gordan Olund II, PA-C
-
Anthony Ivey, FNP-C
-
Lisa K Warren, PA
-
Brenda Sue Salazar, APRN
-
Sean M Herrington, M.D.
-
David M Dupy, M.D.
-
Michael Trausch, PA
-
Crystal Parker, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050222000898 | KS | Part B Supplier - Clinic/Group Practice | 4082522859 |
Receives reassigned benefits from 22 practitioners 1 other NPI on this enrollment Practice locations: Concordia, KS; Jamestown, KS; Clyde, KS |
National Provider Directory
Locations
155 W College Dr
Concordia, KS 66901
Phone (785) 243-1234
311 Walnut St
Jamestown, KS 66948
Phone (785) 243-4272
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
155 West College Drive
Concordia, KS 66901
Mailing address
155 W College Dr
Concordia, KS 66901-5207
Phone (785) 243-4272
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30003913460001 | Medicaid | KS |
Other names
- Family Care Center
NPI Registry JSON
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783382400000",
"number": "1003950189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 W COLLEGE DR",
"city": "CONCORDIA",
"state": "KS",
"postal_code": "669015207",
"telephone_number": "785-243-4272",
"fax_number": "785-243-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 WEST COLLEGE DRIVE",
"city": "CONCORDIA",
"state": "KS",
"postal_code": "66901",
"telephone_number": "785-243-4272",
"fax_number": "785-243-4275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLOUD COUNTY HEALTH CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2026-07-07",
"certification_date": "2026-07-07",
"status": "A",
"authorized_official_last_name": "HAWKINSON",
"authorized_official_first_name": "CURTIS",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "785-243-1234"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30003913460001",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Care Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Family Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Concordia, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.