Organization Active NPI

Olathe Health Physicians, Inc.

Doing business as Olathe Health Family Medicine-Osawatomie

  • Rural Health Clinic/Center
  • Osawatomie, KS
National Provider Identifier
1174701742
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
OLATHE HEALTH PHYSICIANS, INC.
Doing business as
Olathe Health Family Medicine-Osawatomie
Practice address
100 E Main St
Osawatomie, KS 66064-1126
Phone
(913) 755-3044
Fax
(913) 755-2149
NPI assigned
Feb 6, 2008
Last updated
Feb 16, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
OLATHE HEALTH PHYSICIANS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Authorized official

Name
Catherine R. Wiens
Title
VP/Quality & Compliance
Phone
(913) 791-4459

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

100 E Main St
Osawatomie, KS 66064-1126

Mailing address

20333 W 151St St
Olathe, KS 66061-5350
Phone (913) 791-4461

Other names 1

  • Olathe Health Family Medicine-Osawatomie Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Part of
Southland Family Medici

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

100 E Main St
Osawatomie, KS 66064
Phone (913) 755-3044

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Jun 1, 2018 Change of OwnershipThis provider was the seller Olathe Health Family Medicine-OsawatomieCCN 178615, KS, NPI 1134625551

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1174701742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20333 W 151ST ST",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660615350",
            "telephone_number": "913-791-4461",
            "fax_number": "913-324-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E MAIN ST",
            "city": "OSAWATOMIE",
            "state": "KS",
            "postal_code": "660641126",
            "telephone_number": "913-755-3044",
            "fax_number": "913-755-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLATHE HEALTH PHYSICIANS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OLATHE HEALTH PHYSICIANS, INC.",
        "enumeration_date": "2008-02-06",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "WIENS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "VP/QUALITY & COMPLIANCE",
        "authorized_official_telephone_number": "913-791-4459"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olathe Health Family Medicine-Osawatomie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Osawatomie, KS

Sources for this page

Verify at the official NPI Registry.