NPIMap

Organization Active NPI

Wichita County Health Center

  • Rural Health Clinic/Center
  • Leoti, KS
National Provider Identifier
1184615338
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
H102001
Legal business name
WICHITA COUNTY HEALTH CENTER
Practice address
211 E Earl St
Leoti, KS 67861-9620
Phone
(620) 375-2222
Fax
(620) 375-2248
NPI assigned
Nov 4, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Mrs. Amanda Baker
Title
Cfo
Phone
(620) 375-2233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X H102001 Primary

Addresses

Primary practice location

211 E Earl St
Leoti, KS 67861-9620

Mailing address

211 E Earl St
Leoti, KS 67861-9620
Phone (620) 375-2222

Other identifiers 2

IdentifierTypeStateIssuer
016781OtherKSCLINIC
100099560CMedicaidKS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address WichitaCo.Clinic@WichitaCounty-GPHA.cernerdirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041220000555 KS Part B Supplier - Clinic/Group Practice 7113837535 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
Practice locations: Leoti, KS

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/a23f1f77-4149-4903-a9ce-5c317ba44205/
  • Direct secure messaging: wichitaco.clinic@wichitacounty-gpha.cernerdirect.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Wichita County Health CenterLeoti, KS, CCN 171306 Hospital Operational/Managerial Control (100%) Sep 16, 2015
Wichita County Health CenterLeoti, KS, CCN 17Z306 Hospital Operational/Managerial Control (100%) Sep 16, 2015
Wichita County Health Center ClinicLeoti, KS, CCN 173488 Rural health clinic Operational/Managerial Control (100%) Mar 1, 1994

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1184615338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E EARL ST",
            "city": "LEOTI",
            "state": "KS",
            "postal_code": "678619620",
            "telephone_number": "620-375-2222",
            "fax_number": "620-375-2248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E EARL ST",
            "city": "LEOTI",
            "state": "KS",
            "postal_code": "678619620",
            "telephone_number": "620-375-2222",
            "fax_number": "620-375-2248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICHITA COUNTY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-04",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "620-375-2233",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": "H102001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINIC",
            "identifier": "016781",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099560C",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "WichitaCo.Clinic@WichitaCounty-GPHA.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "211 E Earl St",
            "city": "Leoti",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678619620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Leoti, KS

Sources for this page

Verify at the official NPI Registry.