NPIMap

Organization Active NPI

County of Logan

  • Family Medicine Physician
  • Oakley, KS
National Provider Identifier
1285629535
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COUNTY OF LOGAN
Practice address
212 Maple Ave
Oakley, KS 67748-1220
Phone
(785) 672-3261
Fax
(785) 672-8194
NPI assigned
Sep 13, 2005
Last updated
Jul 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
LOGAN COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Mr. Joee Shane Meyer
Title
Cfo
Phone
(785) 672-8184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

212 Maple Ave
Oakley, KS 67748-1220

Mailing address

212 Maple Ave
Oakley, KS 67748-1220
Phone (785) 672-3261

Other identifiers 3

IdentifierTypeStateIssuer
CS2508OtherKSPALMETTO MEDICARE
1285629535OtherKSMEDICARE PART B
1285629535OtherKSBLUE CROSS BLUE SHIELD

Other names 1

  • New Frontiers Health Services a Divsion of Logan County Hospital Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110602000276 KS Part B Supplier - Clinic/Group Practice 7719890904 Receives reassigned benefits from 31 practitioners
3 other NPIs on this enrollment
Practice locations: Oakley, KS

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Part of
Logan County Hosp-Crna

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11985/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Logan County HospitalOakley, KS, CCN 171326 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 15, 1951

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • County of Logan

    dba Logan County Hospital

    • Critical Access Hospital
    • Oakley, KS
    • NPI 1821087230

    5% Or Greater Direct Ownership Interest

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 34

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 34

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1285629535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MAPLE AVE",
            "city": "OAKLEY",
            "state": "KS",
            "postal_code": "677481220",
            "telephone_number": "785-672-3261",
            "fax_number": "785-672-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MAPLE AVE",
            "city": "OAKLEY",
            "state": "KS",
            "postal_code": "677481220",
            "telephone_number": "785-672-3261",
            "fax_number": "785-672-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LOGAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOGAN COUNTY HOSPITAL",
        "enumeration_date": "2005-09-13",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "JOEE",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "785-672-8184",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO MEDICARE",
            "identifier": "CS2508",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "1285629535",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1285629535",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Frontiers Health Services a Divsion of Logan County Hospital",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "New Frontiers Health Services a Divsion of Logan County Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oakley, KS

Sources for this page

Verify at the official NPI Registry.