Stafford County Hospital

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

A093002 Issued in KS

Legal business name

STAFFORD COUNTY HOSPITAL

Practice address

502 S Buckeye St
Stafford, KS 67578-2035

Phone

(620) 234-5221

Fax

(620) 234-5792

NPI assigned

Aug 30, 2006

Last updated

Dec 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Janell Goodno

Title

Cfo

Phone

(620) 234-5221

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• stafford county hospital home health agency Other name

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1073623724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 SOUTH BUCKEYE STREET",
            "address_2": "PO BOX 190",
            "city": "STAFFORD",
            "state": "KS",
            "postal_code": "675780190",
            "telephone_number": "620-234-5221",
            "fax_number": "620-234-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 S BUCKEYE ST",
            "city": "STAFFORD",
            "state": "KS",
            "postal_code": "675782035",
            "telephone_number": "620-234-5221",
            "fax_number": "620-234-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAFFORD COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "GOODNO",
        "authorized_official_first_name": "JANELL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "620-234-5221"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KS",
            "license": "A093002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "001176",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099380E",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099380C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "stafford county hospital home health agency",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Grene Vision Group LLC
• Heart of Kansas Family Health Care, Inc. (Stafford Clinic Site)
• Leisure Homestead Association (Leisure Homestead at Stafford)
• Leisure Homestead Association (Home Plus)
• Alicia Sue Minks
• Stafford County Hospital
• Stafford County Hospital
• Stafford County Hospital
• Stafford Usd 349
• Mary Vineski

• Home Health Agency in Stafford, KS
• Providers in Stafford, KS by specialty
• Home Health Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.