County of Clay

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

COUNTY OF CLAY

Doing business as

Clay County Health Department

Practice address

820 Spellman Cir
Clay Center, KS 67432-7492

Phone

(785) 632-3193

Fax

(785) 632-5849

NPI assigned

Jul 5, 2005

Last updated

Feb 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dana Rickley

Title

County Health Administrator

Phone

(785) 632-3193

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Clay County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Clay

  • Ambulance
  • Clay Center, KS
  • NPI 1124192901

  4587576533

  Same PAC ID

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

CLIA laboratory certificates

Tax ID family

County of Clay2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• County of Clay

  • Ambulance
  • Clay Center, KS
  • NPI 1124192901
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Clay County Medical Center

  dba Clay Center Family Physicians

  • Health Service Clinic/Center
  • Clay Center, KS
  • NPI 1205299120

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1164429148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 SPELLMAN CIR",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674327492",
            "telephone_number": "785-632-3193",
            "fax_number": "785-632-5849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 SPELLMAN CIR",
            "city": "CLAY CENTER",
            "state": "KS",
            "postal_code": "674327492",
            "telephone_number": "785-632-3193",
            "fax_number": "785-632-5849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CLAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "RICKLEY",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "COUNTY HEALTH ADMINISTRATOR",
        "authorized_official_telephone_number": "785-632-3193"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHWAVE",
            "identifier": "460005",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100115070A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHWAVE",
            "identifier": "UNICARE",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100115070D",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD KS",
            "identifier": "12724",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRSTGUARD/HEALTH WAVE",
            "identifier": "642610",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clay County Health Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clay County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clay County Medical Center (Clay Center Family Physicians)
• Clay County Medical Center
• Kyle Converse, D.C.
• Tammera Converse, DC
• County of Clay
• Mary Kay Cummins, ARNP
• Tricia Aubrey Cunningham
• Emily Elizabeth Ebert, FNP-C
• Erickson Medical Clinic, LLC
• Kent Edwin Erickson, MD

• Community Health Clinic/Center in Clay Center, KS
• Providers in Clay Center, KS by specialty
• Community Health Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.