Organization Active NPI

County of Ford

  • Public Health or Welfare Agency
  • Dodge City, KS
National Provider Identifier
1104841196
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF FORD
Practice address
106 E Spruce St
Dodge City, KS 67801-4910
Phone
(620) 227-4545
Fax
(620) 227-4738
NPI assigned
Jul 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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

Authorized official

Name
Mrs. Angela Elder Sowers
Title
Administrator
Phone
(620) 227-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

106 E Spruce St
Dodge City, KS 67801-4910

Mailing address

106 E Spruce St
Dodge City, KS 67801-4910
Phone (620) 227-4545

Other identifiers 2

IdentifierTypeStateIssuer
100092370AMedicaidKS
629510MedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090910000264 KS Part B Supplier - Mass Immunization (Roster Biller Only) 3072560119 Practice locations: Dodge City, KS

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Ford Co Health Dept2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

507 Avenue L
Dodge City, KS 67801
Phone (620) 227-4545

10996 113 Rd
Dodge City, KS 67801
Phone (620) 227-4638

106 E Spruce St
Dodge City, KS 67801
Phone (620) 227-4545

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253491200000",
    "number": "1104841196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E SPRUCE ST",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678014910",
            "telephone_number": "620-227-4545",
            "fax_number": "620-227-4738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E SPRUCE ST",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678014910",
            "telephone_number": "620-227-4545",
            "fax_number": "620-227-4738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF FORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-09-21",
        "status": "A",
        "authorized_official_last_name": "ELDER SOWERS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "620-227-4545",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092370A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "629510",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.