NPIMap

Organization Active NPI

United Methodist Western Kansas Mexican-American Ministries, Inc.

Doing business as Genesis Family Health

  • Federally Qualified Health Center (FQHC)
  • Dodge City, KS
National Provider Identifier
1356065015
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
UNITED METHODIST WESTERN KANSAS MEXICAN-AMERICAN MINISTRIES, INC.
Doing business as
Genesis Family Health
Practice address
2020 Central Ave
Dodge City, KS 67801-6411
Phone
(620) 227-9797
Fax
(620) 225-2422
NPI assigned
Sep 27, 2022
Last updated
Apr 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Scott Catchpole
Title
Ceo
Phone
(620) 271-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2020 Central Ave
Dodge City, KS 67801-6411

Mailing address

PO Box 766
Garden City, KS 67846-0766
Phone (620) 271-7400

Other names 1

  • Genesis Family Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221005002942 KS Part A Provider - Federally Qualified Health Center (FQHC) 7416866124 Practice locations: Dodge City, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356065015. Details of each certification follow.

Federally qualified health center certification: CCN 171915

Legal name
UNITED METHODIST WESTERN KANSAS MEXICAN-AMERICAN MINISTRIES, INC.
Doing business as
DODGE CITY MEDICAL CENTER SUITES A, B, C,D
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 3, 2022
Last certification
Oct 3, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
2020 Central Ave
Dodge City, KS 67801-6411

Other NPIs with the same Medicare PAC ID 7

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

National Provider Directory

National Provider Directory
Tax ID family
United Methodist Western Kansas Mexican American Ministriesinc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sonia Hernandez Individual Corporate DirectorMember Jan 1, 2017
Hortencia Medina Individual Corporate DirectorSecretary Jan 1, 2017
Irene Velasquez Individual Corporate DirectorVice Chair Jan 1, 2018
Linda Scott Individual W-2 Managing EmployeeCredentialing Manager Jun 1, 2022
Scott Catchpole Individual Corporate OfficerCeo Feb 13, 2023
Zachary Anderson Individual Corporate DirectorMember Sep 1, 2021
Debra Brock Individual Corporate DirectorMember Jan 1, 2017
William Bernhardt Purdy Individual Corporate DirectorMember Dec 2, 2021
Linda Martinez Individual Corporate DirectorMember Aug 1, 2021

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1356065015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 766",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678460766",
            "telephone_number": "620-271-7400",
            "fax_number": "620-708-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CENTRAL AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678016411",
            "telephone_number": "620-227-9797",
            "fax_number": "620-225-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED METHODIST WESTERN KANSAS MEXICAN-AMERICAN MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "CATCHPOLE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-271-7400"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Family Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Genesis Family Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dodge City, KS

Sources for this page

Verify at the official NPI Registry.