NPIMap

Organization Active NPI

Stanton County Hospital

  • Family Medicine Physician
  • Johnson, KS
National Provider Identifier
1366716508
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STANTON COUNTY HOSPITAL
Practice address
404 N Chestnut St
Johnson, KS 67855-5001
Phone
(620) 492-1400
Fax
(620) 492-1608
NPI assigned
Mar 6, 2012
Organization subpart
Yes
Parent organization
STANTON COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Authorized official

Name
Camille Davidson
Title
Ceo
Phone
(620) 492-6250

Specialties & licenses 1

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

Addresses

Primary practice location

404 N Chestnut St
Johnson, KS 67855-5001

Mailing address

404 N Chestnut St
P.O. Box 639
Johnson, KS 67855-5001
Phone (620) 492-1400

Other names 1

  • Stanton County Family Practice Rural Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stanton County Hosp Lab4 organizations share this tax ID, including this one
Part of
Stanton County Hosp Lab

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1366716508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N CHESTNUT ST",
            "address_2": "P.O. BOX 639",
            "city": "JOHNSON",
            "state": "KS",
            "postal_code": "678555001",
            "telephone_number": "620-492-1400",
            "fax_number": "620-492-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N CHESTNUT ST",
            "city": "JOHNSON",
            "state": "KS",
            "postal_code": "678555001",
            "telephone_number": "620-492-1400",
            "fax_number": "620-492-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANTON COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STANTON COUNTY HOSPITAL",
        "enumeration_date": "2012-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-492-6250"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanton County Family Practice Rural Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnson, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.