NPIMap

Organization Active NPI

County of Trego

  • Community Health Clinic/Center
  • Wakeeney, KS
National Provider Identifier
1306918255
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
COUNTY OF TREGO
Practice address
201 N Main St
Wakeeney, KS 67672-2104
Phone
(785) 743-6348
Fax
(785) 743-5428
NPI assigned
Nov 15, 2006
Last updated
Jul 8, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Authorized official

Name
Tia Mattheyer
Title
Administrator
Phone
(785) 743-6348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

201 N Main St
Wakeeney, KS 67672-2104

Mailing address

201 N Main St
Wakeeney, KS 67672-2104
Phone (785) 743-6348

Other identifiers 2

IdentifierTypeStateIssuer
629620OtherHEALTHWAVE
100116120AMedicaidKS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130905000085 KS Part B Supplier - Mass Immunization (Roster Biller Only) 1658362488 Practice locations: Wakeeney, KS

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0666343Trego County Health Department201 N Main, Wakeeney, KS 67672Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Member organizations 5

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

Locations

126 N Main St
Wakeeney, KS 67672
Phone (785) 743-6348

201 N Main St
Wakeeney, KS 67672
Phone (785) 743-6348

Ownership & related parties

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Trego County Lemke Memorial HospitalWakeeney, KS, CCN 171355 Hospital 5% Or Greater Indirect Ownership Interest (5%) Jan 1, 2015
Trego County Lemke Memorial HospitalWakeeney, KS, CCN 17Z355 Hospital 5% Or Greater Direct Ownership Interest (100%) Feb 20, 2007
Wakeeney Family Care CenterWakeeney, KS, CCN 178530 Rural health clinic 5% Or Greater Indirect Ownership Interest (5%) Jan 1, 2015
Ellis Family Care CenterEllis, KS, CCN 178538 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 20, 2007

Owned or controlled facilities with NPI records 4

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783468800000",
    "number": "1306918255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST",
            "city": "WAKEENEY",
            "state": "KS",
            "postal_code": "676722104",
            "telephone_number": "785-743-6348",
            "fax_number": "785-743-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N MAIN ST",
            "city": "WAKEENEY",
            "state": "KS",
            "postal_code": "676722104",
            "telephone_number": "785-743-6348",
            "fax_number": "785-743-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF TREGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A",
        "authorized_official_last_name": "MATTHEYER",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "785-743-6348"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHWAVE",
            "identifier": "629620",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100116120A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakeeney, KS

Sources for this page

Verify at the official NPI Registry.