NPIMap

Organization Active NPI

Kearny County Hospital

Doing business as Family Health Center

  • Health Service Clinic/Center
  • Deerfield, KS
National Provider Identifier
1114282563
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
KEARNY COUNTY HOSPITAL
Doing business as
Family Health Center
Practice address
521 Main Street
Deerfield, KS 67838-0361
Phone
(620) 426-2990
Fax
(620) 426-2991
NPI assigned
Jul 11, 2012
Last updated
Apr 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
David Hofmeister
Title
Administrator Ceo
Phone
(620) 355-7111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary
Rural Health Clinic/Center 261QR1300X H-047-001 KS

Addresses

Primary practice location

521 Main Street
Deerfield, KS 67838-0361

Mailing address

506 E Thorpe St
Lakin, KS 67860-9625
Phone (620) 355-7550

Other identifiers 2

IdentifierTypeStateIssuer
100021960AMedicaidKS
100021960NMedicaidKS

Other names 1

  • FAMILY HEALTH CENTER Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@kearnyclinics.e-mdsdirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040419000655 KS Part B Supplier - Clinic/Group Practice 0244148864 Receives reassigned benefits from 19 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lakin, KS

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

521 Main St
Deerfield, KS 67838
Phone (620) 426-2990

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/554843c8-8d71-4199-8499-511dff49069d/

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1114282563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 E THORPE ST",
            "city": "LAKIN",
            "state": "KS",
            "postal_code": "678609625",
            "telephone_number": "620-355-7550",
            "fax_number": "620-355-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 MAIN STREET",
            "city": "DEERFIELD",
            "state": "KS",
            "postal_code": "678380361",
            "telephone_number": "620-426-2990",
            "fax_number": "620-426-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNY COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-11",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "HOFMEISTER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR    CEO",
        "authorized_official_telephone_number": "620-355-7111"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KS",
            "license": "H-047-001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100021960A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100021960N",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@kearnyclinics.e-mdsdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "521 MAIN STREET",
            "city": "DEERFIELD",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678380361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "FAMILY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deerfield, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; 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.