Active NPI
Christian Care Cottage
- Health Service Clinic/Center
- Ottawa, KS
National Provider Identifier
1013176221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- 23-21195-021
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.