Organization Active NPI

Pratt Community Health Clinic, LLC

  • Family Nurse Practitioner
  • Pratt, KS
National Provider Identifier
1154035608
Registry record updated Oct 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PRATT COMMUNITY HEALTH CLINIC, LLC
Practice address
206 S Main St
Pratt, KS 67124-2713
Phone
(620) 388-7741
NPI assigned
Jan 10, 2023
Last updated
Oct 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2023

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

Authorized official

Name
Hayley Noel Zink, APRNNPI 1962933648
Title
Aprn
Phone
(620) 388-7741

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

206 S Main St
Pratt, KS 67124-2713

Mailing address

206 S Main St
Pratt, KS 67124-2713
Phone (620) 388-7731

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230209002960 KS Part B Supplier - Clinic/Group Practice 1658743174 Receives reassigned benefits from 1 practitioner
Practice locations: Pratt, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2276748Pratt Community Health Clinic, LLC206 S Main St, Pratt, KS 67124Certificate of waiverFeb 13, 2027

National Provider Directory

National Provider Directory

Locations

206 S Main St
Pratt, KS 67124
Phone (620) 388-0462

Practitioners & affiliated clinicians

Practitioners 1

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": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698451200000",
    "number": "1154035608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 S MAIN ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671242713",
            "telephone_number": "620-388-7731",
            "fax_number": "860-374-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 S MAIN ST",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671242713",
            "telephone_number": "620-388-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATT COMMUNITY HEALTH CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-10-28",
        "certification_date": "2023-10-28",
        "status": "A",
        "authorized_official_last_name": "ZINK",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "620-388-7741",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pratt, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.