Organization Active NPI

Christian Care Cottage

  • Health Service Clinic/Center
  • Ottawa, KS
National Provider Identifier
1013176221
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
23-21195-021 Issued in KS
Legal business name
CHRISTIAN CARE COTTAGE
Practice address
415 S Poplar St
Ottawa, KS 66067-2438
Phone
(785) 242-6383
Fax
(785) 242-6059
NPI assigned
Jun 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carolyn Sue Randel
Title
Operator
Phone
(785) 242-6059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 23-21195-021 KS Primary

Addresses

Primary practice location

415 S Poplar St
Ottawa, KS 66067-2438

Mailing address

415 S Poplar St
Ottawa, KS 66067-2438
Phone (785) 242-6383

National Provider Directory

National Provider Directory

Locations

415 S Poplar St
Ottawa, KS 66067
Phone (785) 242-6383

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363305600000",
    "number": "1013176221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S POPLAR ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660672438",
            "telephone_number": "785-242-6383",
            "fax_number": "785-242-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S POPLAR ST",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660672438",
            "telephone_number": "785-242-6383",
            "fax_number": "785-242-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN CARE COTTAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-03",
        "last_updated": "2013-03-15",
        "status": "A",
        "authorized_official_last_name": "RANDEL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OPERATOR",
        "authorized_official_telephone_number": "785-242-6059"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "KS",
            "license": "23-21195-021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.