NPIMap

Organization Active NPI

Stormont-Vail Healthcare Inc

  • Clinical Medical Laboratory
  • Topeka, KS
National Provider Identifier
1194234310
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
STORMONT-VAIL HEALTHCARE INC
Practice address
1500 SW 10TH Ave
Topeka, KS 66604-1301
Phone
(785) 354-6000
NPI assigned
Sep 20, 2017
Last updated
Dec 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Robert Odin Langland
Title
VP, Cfo, Treasurer
Phone
(785) 354-6761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

1500 SW 10TH Ave
Topeka, KS 66604-1301

Mailing address

1500 SW 10TH Ave
Topeka, KS 66604-1301

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171122001840 KS Part B Supplier - Independent Clinical Laboratory 2062323520 Practice locations: Topeka, KS

Other NPIs with the same Medicare PAC ID 1

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

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
17D0450154Stormont Vail Health Laboratory1500 SW 10TH Ave, Topeka, KS 66604AccreditationFeb 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Stormont Vail Laboratory6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

2660 SW 3rd St
Ste 1
Topeka, KS 66606
Phone (785) 232-2674

2660 SW 3rd St
Ste 2
Topeka, KS 66606
Phone (785) 354-8737

909 SW Mulvane St
Lowr
Topeka, KS 66606
Phone (785) 270-4613

920 SW Lane St
Topeka, KS 66606
Phone (785) 231-1800

929 SW Mulvane St
Fl 2
Topeka, KS 66606
Phone (785) 270-4262

Ownership & related parties

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Manhattan Surgical HospitalManhattan, KS, CCN 170190 Hospital 5% Or Greater Direct Ownership Interest (49%) Oct 1, 2019
Stormont Vail Health, Flint HillsJunction City, KS, CCN 17U074 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2023
Stormont Vail Health, Flint HillsJunction City, KS, CCN 170074 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2023
Stormont Vail Health Flint Hills Rural Health ClinicJunction City, KS, CCN 173452 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jan 1, 2023

Owned or controlled facilities with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1194234310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SW 10TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW 10TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041301",
            "telephone_number": "785-354-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STORMONT-VAIL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-15",
        "status": "A",
        "authorized_official_last_name": "LANGLAND",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ODIN",
        "authorized_official_title_or_position": "VP, CFO, TREASURER",
        "authorized_official_telephone_number": "785-354-6761"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.