Organization Active NPI

Ransom Memorial Hospital

Doing business as Internal Medicine Associates of Ottawa

  • Rural Health Clinic/Center
  • Ottawa, KS
National Provider Identifier
1225426612
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
RANSOM MEMORIAL HOSPITAL
Doing business as
Internal Medicine Associates of Ottawa
Practice address
1428 S Main St
Suite 4
Ottawa, KS 66067-3543
Phone
(785) 248-2902
NPI assigned
Jan 7, 2015
Last updated
Jan 7, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
RANSOM MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Moyer W Bunting
Title
Cfo
Phone
(785) 229-8244

Specialties & licenses 1

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

Addresses

Primary practice location

1428 S Main St
Suite 4
Ottawa, KS 66067-3543

Mailing address

PO Box 460
Ottawa, KS 66067-0460
Phone (785) 229-3367

Other names 1

  • Internal Medicine Associates of Ottawa 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
Ransom Memorialhosp

Member of 1

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

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
May 1, 2019 Change of OwnershipThis provider was the seller Adventhealth Ottawa Health ParkCCN 178589, KS, NPI 1558824805

Change of ownership 1

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

NPI Registry JSON

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1225426612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 460",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660670460",
            "telephone_number": "785-229-3367",
            "fax_number": "785-229-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1428 S MAIN ST",
            "address_2": "SUITE 4",
            "city": "OTTAWA",
            "state": "KS",
            "postal_code": "660673543",
            "telephone_number": "785-248-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANSOM MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RANSOM MEMORIAL HOSPITAL",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "BUNTING",
        "authorized_official_first_name": "MOYER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "785-229-8244"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Internal Medicine Associates of Ottawa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ottawa, KS

Sources for this page

Verify at the official NPI Registry.