NPIMap

Organization Active NPI

Rooks County Health Center

Doing business as Stockton Medical Clinic

  • Rural Health Clinic/Center
  • Stockton, KS
National Provider Identifier
1043040637
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
ROOKS COUNTY HEALTH CENTER
Doing business as
Stockton Medical Clinic
Practice address
107 S Spruce St
Stockton, KS 67669-1200
Phone
(785) 425-6921
Fax
(785) 434-2577
NPI assigned
Aug 7, 2024
Last updated
Apr 23, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ROOKS COUNTY HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Authorized official

Name
Mr. Joshua M Thaden, PH.D.,MHA
Title
Ceo
Phone
(785) 688-3695

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

107 S Spruce St
Stockton, KS 67669-1200

Mailing address

PO Box 389
Plainville, KS 67663-0389
Phone (785) 434-4553

Other names 1

  • Stockton Medical Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241121001553 KS Part A Provider - Rural Health Clinic 8325959331 Practice locations: Stockton, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043040637. Details of each certification follow.

Rural health clinic certification: CCN 178653

Legal name
ROOKS COUNTY HEALTH CENTER
Doing business as
STOCKTON MEDICAL CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 30, 2024
Last certification
Dec 30, 2024
Ownership / control type
Non-profit – church related
Organization structure
GovernmentNon-profit
Enrollment address
107 S Spruce St
Stockton, KS 67669-1200
Related CCNs
171311

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Plainville Rural Hosp DME7 organizations share this tax ID, including this one
Part of
Plainville Rural Hosp DME

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

304 S Colorado St
Plainville, KS 67663
Phone (785) 434-4553

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joshua Thaden Individual Corporate OfficerChief Executive Officer Mar 23, 2026
Operational/Managerial Control Mar 23, 2026
Pam Harmon Individual Corporate OfficerCno Jan 31, 2011
Josie Thompson Individual W-2 Managing EmployeeClinic Administrator Aug 26, 2024
Daniel J Sanchez Individual Corporate DirectorBoard Member May 3, 2024
Sheila Nan Hachmeister Individual Corporate OfficerCfo Jul 5, 2024
Anna Muir Individual Corporate DirectorBoard Member May 2, 2025
Shelbe Jaede Darnell Individual Corporate DirectorBoard Member May 3, 2024
Brad Plumer Individual Corporate DirectorBoard Member Jan 24, 2023
Jay Casey Individual Corporate DirectorBoard Member May 2, 2025
William Stahl Individual Corporate OfficerCoo Feb 1, 2006
Stephanie Kay Bjornstad Individual Corporate OfficerCco Sep 1, 2024

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 76

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 76

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776902400000",
    "number": "1043040637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 389",
            "city": "PLAINVILLE",
            "state": "KS",
            "postal_code": "676630389",
            "telephone_number": "785-434-4553",
            "fax_number": "785-434-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 S SPRUCE ST",
            "city": "STOCKTON",
            "state": "KS",
            "postal_code": "676691200",
            "telephone_number": "785-425-6921",
            "fax_number": "785-434-2577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOKS COUNTY HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROOKS COUNTY HEALTH CENTER",
        "enumeration_date": "2024-08-07",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A",
        "authorized_official_last_name": "THADEN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-688-3695",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D.,MHA"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stockton Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, KS

Sources for this page

Verify at the official NPI Registry.