Active NPI
County of Ellis
- Public Health or Welfare Agency
- Hays, KS
National Provider Identifier
1376545384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- Legal business name
- COUNTY OF ELLIS
- Practice address
- 2507 Canterbury Dr
Hays, KS 67601-2233 - Phone
- (785) 628-9440
- Fax
- (785) 628-0804
- NPI assigned
- Aug 10, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kerry G McCue
- Title
- Administrator
- Phone
- (785) 628-9440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | Primary |
Addresses
Primary practice location
2507 Canterbury Dr
Hays, KS 67601-2233
Mailing address
2507 Canterbury Dr
Hays, KS 67601-2233
Phone (785) 628-9440
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100113480A | Medicaid | KS | |
| 012726 | Other | KS | BLUE CROSS/BLUE SHIELD |
| 629630 | Other | KS | FIRSTGUARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130612000673 | KS | Part B Supplier - Mass Immunization (Roster Biller Only) | 4385691021 | Practice locations: Hays, KS |
Other NPIs with the same Medicare PAC ID 2
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- County of Ellis
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Hays, KS
- NPI 1265400022
-
- Community Health Clinic/Center
- Hays, KS
- NPI 1770057911
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Hays, KS
- NPI 1073765277
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1548028800000",
"number": "1376545384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2507 CANTERBURY DR",
"city": "HAYS",
"state": "KS",
"postal_code": "676012233",
"telephone_number": "785-628-9440",
"fax_number": "785-628-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2507 CANTERBURY DR",
"city": "HAYS",
"state": "KS",
"postal_code": "676012233",
"telephone_number": "785-628-9440",
"fax_number": "785-628-0804"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF ELLIS",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-10",
"last_updated": "2019-01-21",
"status": "A",
"authorized_official_last_name": "MCCUE",
"authorized_official_first_name": "KERRY",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "785-628-9440",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100113480A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "012726",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTGUARD",
"identifier": "629630",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hays, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.