Active NPI
County of Montgomery
Doing business as Montgomery County Health Department
- Public Health or Welfare Agency
- Coffeyville, KS
National Provider Identifier
1124126073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130715000619 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 0244249753 | Practice locations: Coffeyville, KS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physician Assistant
- Chanute, KS
- NPI 1053788901
-
- Dental Hygienist
- Coffeyville, KS
- NPI 1437583705
-
- Family Nurse Practitioner
- Larned, KS
- NPI 1124353396
-
- Dental Hygienist
- Coffeyville, KS
- NPI 1881028157
-
- Family Medicine Physician
- Coffeyville, KS
- NPI 1538271135
-
- Family Nurse Practitioner
- Coffeyville, KS
- NPI 1689866568
-
- Medical Physician Assistant
- Choteau, MT
- NPI 1831486299
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.