Organization Active NPI

County of Montgomery

Doing business as Montgomery County Health Department

  • Public Health or Welfare Agency
  • Coffeyville, KS
National Provider Identifier
1124126073
Registry record updated Mar 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF MONTGOMERY
Doing business as
Montgomery County Health Department
Practice address
908 Walnut St
Coffeyville, KS 67337-5827
Phone
(620) 251-4210
Fax
(620) 251-6708
NPI assigned
Sep 21, 2006
Last updated
Mar 2, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2018

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

Authorized official

Name
Carolyn Marie Muller
Title
Administrator
Phone
(620) 251-4210

Specialties & licenses 1

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

Addresses

Primary practice location

908 Walnut St
Coffeyville, KS 67337-5827

Mailing address

908 Walnut St
Coffeyville, KS 67337-5827
Phone (620) 251-4210

Other names 1

  • Montgomery County Health Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130715000619 KS Part B Supplier - Mass Immunization (Roster Biller Only) 0244249753 Practice locations: Coffeyville, KS

National Provider Directory

National Provider Directory

Locations

604 Union St
Coffeyville, KS 67337
Phone (620) 251-4210

908 Walnut St
Coffeyville, KS 67337
Phone (620) 251-4210

217 E Myrtle St
Independence, KS 67301
Phone (620) 331-4300

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519948800000",
    "number": "1124126073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 WALNUT ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673375827",
            "telephone_number": "620-251-4210",
            "fax_number": "620-251-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 WALNUT ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673375827",
            "telephone_number": "620-251-4210",
            "fax_number": "620-251-6708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MONTGOMERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2018-03-02",
        "status": "A",
        "authorized_official_last_name": "MULLER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "620-251-4210"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coffeyville, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.