NPIMap

Organization Active NPI

Goodland Regional Medical Center

  • Certified Registered Nurse Anesthetist
  • Goodland, KS
National Provider Identifier
1063562379
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
GOODLAND REGIONAL MEDICAL CENTER
Practice address
220 W 2ND St
Goodland, KS 67735-1602
Phone
(785) 890-3625
NPI assigned
Jan 11, 2007
Last updated
Nov 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Diana Lynn Slough
Title
Ins/PT Accounts Manager
Phone
(785) 890-6012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU Primary

Addresses

Primary practice location

220 W 2ND St
Goodland, KS 67735-1602

Mailing address

220 W 2ND St
Goodland, KS 67735-1602
Phone (785) 890-3625

Other identifiers 2

IdentifierTypeStateIssuer
100088450BMedicaidKS
012200OtherKSBLUE CROSS

National Provider Directory

National Provider Directory
Tax ID family
Northwest KS Reg Med CT5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17074/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1063562379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W 2ND ST",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677351602",
            "telephone_number": "785-890-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W 2ND ST",
            "city": "GOODLAND",
            "state": "KS",
            "postal_code": "677351602",
            "telephone_number": "785-890-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLAND REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "SLOUGH",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "INS/PT ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "785-890-6012"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100088450B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "012200",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodland, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.