NPIMap

Organization Active NPI

Phillips County

  • Home Health Agency
  • Phillipsburg, KS
National Provider Identifier
1275528762
Registry record updated Aug 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PHILLIPS COUNTY
Practice address
784 6TH St
Phillipsburg, KS 67661-1939
Phone
(785) 543-6850
Fax
(785) 543-6852
NPI assigned
Sep 12, 2005
Last updated
Aug 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2010

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

Authorized official

Name
Miss Louetta Joann Forell, RN
Title
Administrator/Health Officer
Phone
(785) 543-6850

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Public Health or Welfare Agency 251K00000X NU

Addresses

Primary practice location

784 6TH St
Phillipsburg, KS 67661-1939

Mailing address

784 6TH St
Phillipsburg, KS 67661-1939
Phone (785) 543-6850

Other identifiers 6

IdentifierTypeStateIssuer
012764OtherKSBLUE SHIELD PROVIDER NUMBER
100011960AMedicaidKS
100092360BMedicaidKS
100092360AMedicaidKS
000525OtherKSBLUE SHIELD HOME HEALTH
629780OtherKSFIRST GUARD PROVIDER NUMBER

National Provider Directory

National Provider Directory

Member of 1

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1275528762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "784 6TH ST",
            "city": "PHILLIPSBURG",
            "state": "KS",
            "postal_code": "676611939",
            "telephone_number": "785-543-6850",
            "fax_number": "785-543-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "784 6TH ST",
            "city": "PHILLIPSBURG",
            "state": "KS",
            "postal_code": "676611939",
            "telephone_number": "785-543-6850",
            "fax_number": "785-543-6852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "FORELL",
        "authorized_official_first_name": "LOUETTA",
        "authorized_official_middle_name": "JOANN",
        "authorized_official_title_or_position": "ADMINISTRATOR/HEALTH OFFICER",
        "authorized_official_telephone_number": "785-543-6850",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMBER",
            "identifier": "012764",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100011960A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092360B",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092360A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD HOME HEALTH",
            "identifier": "000525",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST GUARD PROVIDER NUMBER",
            "identifier": "629780",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.