County of Stafford
Organization Active NPI Public Health or Welfare Agency · Saint John, KS
NPI 1346287752 · NPPES record last updated Nov 14, 2008
Key facts
- NPI
- 1346287752
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health or Welfare Agency 251K00000X
- Legal business name
- COUNTY OF STAFFORD
- Practice address
- 610 E 1St Ave
Saint John, KS 67576-2224 - Phone
- (620) 549-3504
- Fax
- (620) 549-6593
- NPI assigned
- Jun 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Doris E Tompkins, RN
- Title
- Admin
- Phone
- (620) 549-3504
Other NPIs with the same Medicare PAC ID 1
Practitioners 1
-
Fredrick J Farmer III, D.O.
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 17D0667885 | Stafford County Health Dept | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081111000075 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 8123075355 | Practice locations: St John, KS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Yes |
Addresses
Primary practice location
610 E 1St Ave
Saint John, KS 67576-2224
Mailing address
610 E 1St Ave
Saint John, KS 67576-2224
Phone (620) 549-3504
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100097810A | Medicaid | KS |
Other providers in Saint John, KS
- Brandi Dawn Clark
- County of Stafford
- Christopher Davis
- Eloise Penka Doran
- Edwards County Hospital and Healthcare Center
- Fredrick J Farmer III
All providers in Saint John, KS · Public Health or Welfare Agency in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.