NPIMap

Organization Active NPI

Hospital District No 1 of Rice Co

  • Family Medicine Physician
  • Sterling, KS
National Provider Identifier
1366716342
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H080001 Issued in KS
Legal business name
HOSPITAL DISTRICT NO 1 OF RICE CO
Practice address
239 N Broadway Ave
Sterling, KS 67579-1916
Phone
(620) 278-2123
Fax
(620) 278-2712
NPI assigned
Mar 8, 2012
Organization subpart
Yes
Parent organization
HOSPITAL DISTRICT NO 1 OF RICE COAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Authorized official

Name
Weston Tallman
Title
Cfo
Phone
(620) 257-5173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X H080001 KS Primary

Addresses

Primary practice location

239 N Broadway Ave
Sterling, KS 67579-1916

Mailing address

619 S Clark Ave
PO Box 828
Lyons, KS 67554-3003
Phone (620) 257-5173

Other identifiers 2

IdentifierTypeStateIssuer
100099160AMedicaidKS
30003942210002MedicaidKS

Other names 1

  • Sterling Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hospital District No 1 of Rice Co6 organizations share this tax ID, including this one
Part of
Hospital District No 1 of Rice Co

Other organizations with this tax ID 5

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

Locations

619 S Clark Ave
Lyons, KS 67554
Phone (620) 257-5173

239 N Broadway Ave
Sterling, KS 67579
Phone (620) 278-2123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698710400000",
    "number": "1366716342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 S CLARK AVE",
            "address_2": "PO BOX 828",
            "city": "LYONS",
            "state": "KS",
            "postal_code": "675543003",
            "telephone_number": "620-257-5173",
            "fax_number": "620-257-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 N BROADWAY AVE",
            "city": "STERLING",
            "state": "KS",
            "postal_code": "675791916",
            "telephone_number": "620-278-2123",
            "fax_number": "620-278-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL DISTRICT NO 1 OF RICE CO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOSPITAL DISTRICT NO 1 OF RICE CO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "TALLMAN",
        "authorized_official_first_name": "WESTON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "620-257-5173"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "H080001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100099160A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30003942210002",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sterling Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sterling Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.