County of Kingman
Organization Active NPI Public Health or Welfare Agency · Kingman, KS
NPI 1023068236 · NPPES record last updated Jan 28, 2013
Key facts
- NPI
- 1023068236
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- License
- 251K00000X (KS)
- Legal business name
- COUNTY OF KINGMAN
- Practice address
- 125 N Spruce St
Kingman, KS 67068-1648 - Phone
- (620) 532-2221
- Fax
- (620) 532-1083
- NPI assigned
- May 10, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- COUNTY OF KINGMAN
Authorized official
- Name
- Cindy Chrisman-Smith, RN
- Title
- Director
- Phone
- (620) 532-2221
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0868748 | Kingman County Health Department | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130612000140 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 4284681966 | Practice locations: Kingman, KS |
National Provider Directory
- Part of
- County of Kingman
Locations
125 N Spruce St
Stop 1
Kingman, KS 67068
Phone (620) 532-2221
125 N Spruce St
Kingman, KS 67068
Phone (620) 532-2221
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 251K00000X | KS | Yes |
Addresses
Primary practice location
125 N Spruce St
Kingman, KS 67068-1648
Mailing address
125 N Spruce St
Kingman, KS 67068-1648
Phone (620) 532-2221
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100097760A | Medicaid | KS | |
| 629380 | Other | KS | HEALTH WAVE |
| 600000869 | Other | KS | RAILROAD MEDICARE |
Other names
- Kingman County Health Department
Other providers in Kingman, KS
- Jessica Blackwill
- Lisa Boyle
- Cancer Center of Kansas, P.a.
- Christopher H Surtman DPM LLC
- City of Kingman
- Danielle Cox
- Carol L Esau
- Erika Fitzgerald
- Jessica Ann Marie Gault
- Joseph Gerber
All providers in Kingman, KS · Public Health or Welfare Agency in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2013. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.