NPIMap

Organization Active NPI

Community Health Center of Southeast Kansas, Inc.

  • Federally Qualified Health Center (FQHC)
  • Arma, KS
National Provider Identifier
1083199392
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.
Practice address
601 E Washington St
Arma, KS 66712-4001
Phone
(620) 231-9873
NPI assigned
Oct 2, 2018
Last updated
Oct 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Authorized official

Name
Daniel Spencer Creitz
Title
General Counsel
Phone
(620) 240-5015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

601 E Washington St
Arma, KS 66712-4001

Mailing address

3011 N Michigan St
Pittsburg, KS 66762-2546
Phone (620) 231-9873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040209000163 KS Part B Supplier - Clinic/Group Practice 7911816392 Receives reassigned benefits from 184 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Parsons, KS; Pleasanton, KS; Pittsburg, KS; Mound City, KS; La Cygne, KS; Iola, KS; Independence, KS; Garnett, KS…
O20181217002111 KS Part A Provider - Federally Qualified Health Center (FQHC) 7911816392 Practice locations: Arma, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083199392. Details of each certification follow.

Federally qualified health center certification: CCN 171886

Legal name
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC
Doing business as
CHC/SEK ARMA CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 14, 2018
Last certification
Dec 14, 2018
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 20, 2001 in KS
Enrollment address
601 E Washington St
Arma, KS 66712-4001

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2163902Community Health Center of Southeast Kansas, Inc601 East Washington St, Arma, KS 66712Certificate of waiverMar 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Community Health Center of Southeast Kanas Inc43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

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

View all 42

Locations

11155 Tucker Rd
Pleasanton, KS 66075
Phone (913) 347-8110

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Janie Henderson Individual Corporate OfficerBoard Member Nov 1, 2013 100%
Krista Kay Postai Individual Corporate OfficerCeo and President Nov 2, 2004 100%
Operational/Managerial ControlCeo and President Nov 2, 2004 100%
Judy a. Westhoff Individual Corporate Officer Nov 1, 2002
Monica C. Laforte Individual Corporate OfficerBoard Member Nov 1, 2002 100%
Brian Jones Individual Corporate OfficerBoard Member Nov 1, 2007 100%
Jason M Wesco Individual Corporate DirectorPresident Jan 1, 2020 100%
W-2 Managing EmployeeAuthorized Official Jan 1, 2020 100%
Dawn Flores Individual Corporate OfficerBoard Member Nov 1, 2005 100%
Daniel Creitz Individual Corporate DirectorSr Vice President Jan 1, 2022 100%
W-2 Managing EmployeeAuthorized Official Jan 1, 2022 100%
John Wyrick Individual Corporate OfficerBoard Member Nov 1, 2016 100%
Rosaura Lopez Individual Corporate Director Dec 31, 2018 100%
Community Health Center of Southeast Kansas Inc Organization, Pittsburg, KS Operational/Managerial Control Dec 31, 2018 100%
Betha K Elliott Individual Corporate OfficerBoard Member Nov 1, 2007 100%
Theresa Harris Individual Corporate OfficerBoard Member Nov 1, 2017 100%
Patrick O'Bryan Individual Corporate OfficerBoard Member Nov 1, 2017 100%

All facility ownership & control disclosures 18

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Health Center of Southeast Kansas IncCoffeyville, KS, CCN 171840 Federally qualified health center Operational/Managerial Control (100%) Nov 15, 2011
Community Health Center of Southeast Kansas/CoffeyvilleCoffeyville, KS, CCN 171842 Federally qualified health center Operational/Managerial Control (100%) Jan 2, 2012
Community Health Center of Southeast Kansas/IolaIola, KS, CCN 171846 Federally qualified health center Operational/Managerial Control (100%) Dec 1, 2008
CHC/Sek's Field Kindley Student Health CenterCoffeyville, KS, CCN 171849 Federally qualified health center Operational/Managerial Control Oct 15, 2013
Community Health Center of Southeast Kansas IncIndependence, KS, CCN 171850 Federally qualified health center Operational/Managerial Control (100%) Jun 2, 2014
Community Health Center of Southeast Kansas/ParsonsParsons, KS, CCN 171861 Federally qualified health center Operational/Managerial Control (100%) Aug 31, 2015
Community Health Center of Southeast Kansas/PleasantonPleasanton, KS, CCN 171885 Federally qualified health center Operational/Managerial Control (100%) Dec 31, 2018
Community Health Center of Southeast Kansas Inc/Fort Scott Main ClinicFort Scott, KS, CCN 171887 Federally qualified health center Operational/Managerial Control (100%) Dec 31, 2018
Community Health Center of Southeast Kansas/Mound CityMound City, KS, CCN 171889 Federally qualified health center Operational/Managerial Control (100%) Dec 31, 2018
CHC/Ok Miami ClinicMiami, OK, CCN 371945 Federally qualified health center Operational/Managerial Control Nov 20, 2019
Community Health Center of Southeast Kansas IncPittsburg, KS, CCN 171891 Federally qualified health center Operational/Managerial Control Oct 17, 2018
CHC/Sek South PittsburgPittsburg, KS, CCN 171895 Federally qualified health center Operational/Managerial Control Apr 17, 2020
Community Health Center of Southeast Kansas IncLa Cygne, KS, CCN 171905 Federally qualified health center Operational/Managerial Control (100%) Sep 24, 2021
Community Health Center of Southeast Kansas IncColumbus, KS, CCN 171017 Federally qualified health center Operational/Managerial Control (100%) Nov 7, 2022
Community Health Center of Southeast Kansas IncBaxter Springs, KS, CCN 171018 Federally qualified health center Operational/Managerial Control (100%) Feb 1, 2023
Community Health Center of Southeast Kansas IncIola, KS, CCN 171019 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2023
Community Health Center of Southeast Kansas IncPittsburg, KS, CCN 171024 Federally qualified health center Operational/Managerial Control Aug 1, 2023
Community Health Center of Southeast Kansas IncHumboldt, KS, CCN 171026 Federally qualified health center Operational/Managerial Control Apr 1, 2024

Facilities with the same owner 18

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 18

Practitioners & affiliated clinicians

Practitioners 23

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 23

NPI Registry JSON

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538438400000",
    "number": "1083199392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 N MICHIGAN ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622546",
            "telephone_number": "620-231-9873",
            "fax_number": "620-240-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E WASHINGTON ST",
            "city": "ARMA",
            "state": "KS",
            "postal_code": "667124001",
            "telephone_number": "620-231-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A",
        "authorized_official_last_name": "CREITZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "620-240-5015"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arma, KS

Sources for this page

Verify at the official NPI Registry.