Jefferson County Memorial Hospital
Organization Active NPI Psychiatry Physician · Nortonville, KS
NPI 1215459367 · NPPES record last updated Jul 11, 2017
Key facts
- NPI
- 1215459367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 08-00268 (KS)
- Legal business name
- JEFFERSON COUNTY MEMORIAL HOSPITAL
- Practice address
- 412 E Walnut St
Nortonville, KS 66060-4008 - Phone
- (844) 536-9449
- Fax
- (844) 415-1702
- NPI assigned
- Jul 11, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- JEFFERSON COUNTY MEMORIAL HOSPITAL
Authorized official
- Name
- Elizabeth Finley
- Title
- Him Director/Credentialing Agent
- Phone
- (844) 536-9449
Other NPIs on the same Medicare enrollment 4
Practitioners 21
-
Heather Regann Aranda, APRN
-
Judee Sara Marie Cordell, FNP-C
-
Edward Theodore Duensing, NP-C
-
Samuel Y Ho, M.D.
-
Yolanda Huet-Vaughn, M.D.
-
Gary B. Morsch, M.D.
-
Cooper L Nickel, M.D.
-
Alexander Overbey, DNP-C
-
Blake Gordon Phipps, M.D.
-
Mary L Rardin, MD
-
Ronald R Ross, PA-C
-
Shelby Sprang, DNP, FNP-C
-
Lorelei M Sunderland, ARNP
-
Katherine M. Walker, APRN
-
Cathryn Wieck, APRN
-
Katherine Margaret Thornburgh Bayer, BSN, APRN-S, DNP-S
-
Ariel Zachariah, DNP, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050215000085 | KS | Part B Supplier - Clinic/Group Practice | 6002868445 |
Receives reassigned benefits from 10 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Winchester, KS; Basehor, KS |
National Provider Directory
- Part of
- Jefferson Co Mem Hosp Inc
Locations
504 Plaza Dr
#300
Perry, KS 66073
Phone (913) 774-4340
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | 08-00268 | KS | Yes |
Addresses
Primary practice location
412 E Walnut St
Nortonville, KS 66060-4008
Mailing address
408 Delaware St
Winchester, KS 66097-4003
Phone (844) 536-9449
Other names
- F. W. Huston Medical Center
Other providers in Nortonville, KS
- Anew Healthcare, LLC
- Kimberly Sue Childress
- Developmental Education Consultants, Inc.
- Jeffrey Hale
- Elizabeth Carrie Ireland
- Kelly Lynn Jobbins
- Ann Kristin Neuhaus
- Nortonville Al Opco LLC
- Nortonville Assisted Living, L.L.C.
- Nortonville Health Care Center, L.L.C.
All providers in Nortonville, KS · Psychiatry Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.