NPIMap

Organization Active NPI

Mercy Kansas Communities, Inc

Doing business as Mercy Clinic Fort Scott

  • Family Medicine Physician
  • Fort Scott, KS
National Provider Identifier
1316048176
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-30826 Issued in KS
Legal business name
MERCY KANSAS COMMUNITIES, INC
Doing business as
Mercy Clinic Fort Scott
Practice address
403 Woodland Hills Blvd
Fort Scott, KS 66701-8798
Phone
(620) 223-8040
Fax
(620) 223-8534
NPI assigned
Sep 26, 2006
Last updated
Jun 9, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY KANSAS COMMUNITIES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Authorized official

Name
Shelly Hunter
Title
Cfo
Phone
(417) 625-2459

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 75331 KS
Family Nurse Practitioner 363LF0000X 45086 KS
Family Nurse Practitioner 363LF0000X 44801 KS
Family Nurse Practitioner 363LF0000X 45022 KS
Family Medicine Physician 207Q00000X 04-30826 KS Primary
Family Medicine Physician 207Q00000X 24746 KS
Family Medicine Physician 207Q00000X 17312 KS
Family Medicine Physician 207Q00000X 18448 KS
Family Medicine Physician 207Q00000X 04-34210 KS
Internal Medicine Physician 207R00000X 04-25914 KS
Obstetrics & Gynecology Physician 207V00000X 31674 KS
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 04-33417 KS
Pediatrics Physician 208000000X 04-25914 KS
Surgery Physician 208600000X 22858 KS
Surgery Physician 208600000X 04-32360 KS

Addresses

Primary practice location

403 Woodland Hills Blvd
Fort Scott, KS 66701-8798

Mailing address

403 Woodland Hills Blvd
Fort Scott, KS 66701-8798
Phone (620) 223-8040

Other names 1

  • Mercy Clinic Fort Scott Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy Hospital of Kansas Inc18 organizations share this tax ID, including this one
Part of
Mercy Hospital of Kansas Inc

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

203 W Main St
Cherryvale, KS 67335
Phone (620) 336-2131

216 E 4th St
Cherryvale, KS 67335
Phone (620) 336-2132

403 Woodland Hills Blvd
Ste Ab
Fort Scott, KS 66701
Phone (620) 223-8040

403 Woodland Hills Blvd
Ste C
Fort Scott, KS 66701
Phone (620) 223-8040

422 W Main St
Independence, KS 67301
Phone (620) 332-3215

800 W Laurel St
#845
Independence, KS 67301
Phone (620) 332-3280

900 W Myrtle St
Ste 103
Independence, KS 67301
Phone (620) 332-5850

11155 Tucker Rd
#C
Pleasanton, KS 66075
Phone (913) 352-8379

900 Main St
Pleasanton, KS 66075
Phone (913) 352-8379

Practitioners & affiliated clinicians

Practitioners 24

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 24

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402272000000",
    "number": "1316048176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WOODLAND HILLS BLVD",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018798",
            "telephone_number": "620-223-8040",
            "fax_number": "620-223-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WOODLAND HILLS BLVD",
            "city": "FORT SCOTT",
            "state": "KS",
            "postal_code": "667018798",
            "telephone_number": "620-223-8040",
            "fax_number": "620-223-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY KANSAS COMMUNITIES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY KANSAS COMMUNITIES, INC",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-06-09",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "417-625-2459"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "75331",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45086",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "44801",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "45022",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-30826",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "24746",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "17312",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "18448",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-34210",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-25914",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KS",
            "license": "31674",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "KS",
            "license": "04-33417",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-25914",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "22858",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-32360",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Clinic Fort Scott",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Scott, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.