NPIMap

Organization Active NPI

Southwest Medical Center

Doing business as SWMC ER Physicians

  • Emergency Medicine Physician
  • Liberal, KS
National Provider Identifier
1144260753
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
SOUTHWEST MEDICAL CENTER
Doing business as
SWMC ER Physicians
Practice address
315 W 15TH Street
Liberal, KS 67901
Phone
(620) 624-1651
Fax
(620) 629-2472
NPI assigned
Jun 8, 2006
Last updated
Feb 22, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHWEST MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Delany Fawkes
Title
Cfo/VP of Finance
Phone
(620) 629-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X NU Primary

Addresses

Primary practice location

315 W 15TH Street
Liberal, KS 67901

Mailing address

315 W 15TH Street
PO Box 1340
Liberal, KS 67905-1340
Phone (620) 624-1651

Other names 1

  • SWMC ER Physicians Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805001105 KS Part B Supplier - Clinic/Group Practice 7517941651 Receives reassigned benefits from 80 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Meade, KS; Liberal, KS; Johnson, KS; Hugoton, KS

Other NPIs on the same Medicare enrollment 9

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

National Provider Directory

National Provider Directory
Part of
Southwest Kansas Pathol

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1144260753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W 15TH STREET",
            "address_2": "PO BOX 1340",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "679051340",
            "telephone_number": "620-624-1651",
            "fax_number": "620-629-2472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W 15TH STREET",
            "city": "LIBERAL",
            "state": "KS",
            "postal_code": "67901",
            "telephone_number": "620-624-1651",
            "fax_number": "620-629-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHWEST MEDICAL CENTER",
        "enumeration_date": "2006-06-08",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "FAWKES",
        "authorized_official_first_name": "DELANY",
        "authorized_official_title_or_position": "CFO/VP OF FINANCE",
        "authorized_official_telephone_number": "620-629-6300"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SWMC ER Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Liberal, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; 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.