NPIMap

Organization Active NPI

Trego County Lemke Memorial Hospital

  • Critical Access Hospital Clinic/Center
  • Wakeeney, KS
National Provider Identifier
1275614059
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access Hospital Clinic/CenterTaxonomy code 261QC0050X
License
H-098-001 Issued in KS
Legal business name
TREGO COUNTY LEMKE MEMORIAL HOSPITAL
Practice address
333 N 14TH St
Wakeeney, KS 67672-3000
Phone
(785) 743-2124
Fax
(785) 743-2265
NPI assigned
Oct 18, 2006
Last updated
Nov 10, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
TREGO COUNTY LEMKE MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Christine Adams-Cleland
Title
Cfo
Phone
(785) 743-2182

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital Clinic/Center 261QC0050X NU
Critical Access Hospital Clinic/Center 261QC0050X H-098-001 KS Primary

Addresses

Primary practice location

333 N 14TH St
Wakeeney, KS 67672-3000

Mailing address

320 N 13TH St
Wakeeney, KS 67672-2002
Phone (785) 743-2182

Other practice location 1

320 N 13th St
Wakeeney, KS 67672-2002
Phone (785) 743-2182

Other identifiers 2

IdentifierTypeStateIssuer
100018310CMedicaidKS
012202OtherKSBCBS PROFESSIONAL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040826001323 KS Part B Supplier - Clinic/Group Practice 6103735717 Receives reassigned benefits from 19 practitioners
Practice locations: Ellis, KS; Wakeeney, KS

Other NPIs with the same Medicare PAC ID 4

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

National Provider Directory

National Provider Directory
Part of
Trego County Hosp - Crna

Member of 1

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

Locations

1000 Washington St
Ellis, KS 67637
Phone (785) 726-4956

1204 Washington St
Ellis, KS 67637
Phone (785) 726-4956

Practitioners & affiliated clinicians

Practitioners 20

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 20

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1275614059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N 13TH ST",
            "city": "WAKEENEY",
            "state": "KS",
            "postal_code": "676722002",
            "telephone_number": "785-743-2182",
            "fax_number": "785-743-6317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N 14TH ST",
            "city": "WAKEENEY",
            "state": "KS",
            "postal_code": "676723000",
            "telephone_number": "785-743-2124",
            "fax_number": "785-743-2265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 N 13th St",
            "address_purpose": "LOCATION",
            "city": "Wakeeney",
            "state": "KS",
            "postal_code": "676722002",
            "country_code": "US",
            "telephone_number": "785-743-2182",
            "fax_number": "785-743-6317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TREGO COUNTY LEMKE MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TREGO COUNTY LEMKE MEMORIAL HOSPITAL",
        "enumeration_date": "2006-10-18",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "ADAMS-CLELAND",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "785-743-2182"
    },
    "taxonomies": [
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QC0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Critical Access Hospital",
            "state": "KS",
            "license": "H-098-001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100018310C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROFESSIONAL",
            "identifier": "012202",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakeeney, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.