NPIMap

Organization Active NPI

Jefferson County Memorial Hospital

Doing business as F. W. Huston Medical Center

  • Psychiatry Physician
  • Nortonville, KS
National Provider Identifier
1215459367
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
08-00268 Issued in KS
Legal business name
JEFFERSON COUNTY MEMORIAL HOSPITAL
Doing business as
F. W. Huston Medical Center
Practice address
412 E Walnut St
Nortonville, KS 66060-4008
Phone
(844) 536-9449
Fax
(844) 415-1702
NPI assigned
Jul 11, 2017
Last updated
Jul 11, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
JEFFERSON COUNTY MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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

Authorized official

Name
Elizabeth Finley
Title
Him Director/Credentialing Agent
Phone
(844) 536-9449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 08-00268 KS Primary

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 1

  • F. W. Huston Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Part of
Family Medical Clinic

Locations

504 Plaza Dr
#300
Perry, KS 66073
Phone (913) 774-4340

409 Broadway St
Valley Falls, KS 66088
Phone (913) 774-4340

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499731200000",
    "number": "1215459367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 DELAWARE ST",
            "city": "WINCHESTER",
            "state": "KS",
            "postal_code": "660974003",
            "telephone_number": "844-536-9449",
            "fax_number": "844-415-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E WALNUT ST",
            "city": "NORTONVILLE",
            "state": "KS",
            "postal_code": "660604008",
            "telephone_number": "844-536-9449",
            "fax_number": "844-415-1702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JEFFERSON COUNTY MEMORIAL HOSPITAL",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A",
        "authorized_official_last_name": "FINLEY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "HIM DIRECTOR/CREDENTIALING AGENT",
        "authorized_official_telephone_number": "844-536-9449"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "08-00268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "F. W. Huston Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "F. W. Huston Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nortonville, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.