NPIMap

Organization Active NPI

Konza Prairie Community Health Center, Inc.

Doing business as Konza Prairie Community Health Center Chapman Clinic

  • Federally Qualified Health Center (FQHC)
  • Chapman, KS
National Provider Identifier
1396459293
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
KONZA PRAIRIE COMMUNITY HEALTH CENTER, INC.
Doing business as
Konza Prairie Community Health Center Chapman Clinic
Practice address
111 E 5TH St
Chapman, KS 67431-2517
Phone
(785) 238-4711
Fax
(785) 530-6150
NPI assigned
Jan 6, 2023
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
KONZA PRAIRIE COMMUNITY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Danielle Hallgren
Title
Ceo
Phone
(785) 238-4711

Specialties & licenses 1

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

Addresses

Primary practice location

111 E 5TH St
Chapman, KS 67431-2517

Mailing address

361 Grant Ave
Junction City, KS 66441-4201
Phone (785) 238-4711

Other names 1

  • Konza Prairie Community Health Center Chapman Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040109000751 KS Part B Supplier - Clinic/Group Practice 3779483466 Receives reassigned benefits from 21 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Junction City, KS; Manhattan, KS; Chapman, KS
O20230123001865 KS Part A Provider - Federally Qualified Health Center (FQHC) 3779483466 Practice locations: Chapman, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396459293. Details of each certification follow.

Federally qualified health center certification: CCN 171037

Legal name
KONZA PRAIRIE COMMUNITY HEALTH CENTER INC
Doing business as
KONZA PRAIRIE COMMUNITY HEALTH CENTER CHAPMAN CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 9, 2023
Last certification
Jan 9, 2023
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
111 E 5TH St
Chapman, KS 67431-2517

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D1001899Konza Prairie Community Health Center, Inc111 E 5TH St, Chapman, KS 67431Certificate of waiverJul 22, 2028

National Provider Directory

National Provider Directory
Tax ID family
Konza Prairie Community Health Center Inc3 organizations share this tax ID, including this one
Part of
Konza Prairie Community Health Center Inc

Other organizations with this tax ID 2

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

Locations

102 N Eisenhower Dr
Junction City, KS 66441
Phone (785) 238-4711

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAFCAD

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Paula Pedersen Individual W-2 Managing EmployeeRCM Jan 3, 2022
Lisa Osbourn Individual Corporate DirectorBoard Member Dec 1, 2010
Margaret Kilpatrick Individual Corporate DirectorBoard Member Feb 1, 2022
Vicky D. Minton Individual Corporate OfficerCfo Jan 1, 2024
W-2 Managing EmployeeCfo Jan 1, 2024
Operational/Managerial ControlCfo Jan 1, 2024
Gene Parrish Individual Corporate DirectorVice Chairman May 1, 2009
Danielle Hallgren Individual Corporate OfficerCeo Dec 16, 2022
W-2 Managing EmployeeCeo Dec 16, 2022
Susan Adamchak Individual Corporate DirectorBoard Member Jul 1, 2023
Aaron Estabrook Individual Corporate DirectorBoard Member Mar 1, 2020
Irene Portillo Individual Contracted Managing EmployeeCredentialing Manager Jun 17, 2024
Tom Brungardt Individual Corporate DirectorBoard Chairman Mar 1, 2013
Carol Lawson Individual Corporate DirectorBoard Member Jul 1, 2023
Florence C. Whitebread Individual Corporate DirectorBoard Member Nov 1, 1994
Dustie Angela Samuels Individual W-2 Managing EmployeeMD; Mar 4, 2024
Myron Coryell Individual Corporate DirectorBoard Member May 1, 1999
Leann Kooken Individual Corporate OfficerCoo Feb 6, 2023
W-2 Managing EmployeeCoo Feb 6, 2023
Operational/Managerial ControlCoo Feb 6, 2023
Lawrence P. Palmer Individual Corporate DirectorBoard Member Jan 1, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1396459293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 GRANT AVE",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664414201",
            "telephone_number": "785-238-4711",
            "fax_number": "785-530-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 5TH ST",
            "city": "CHAPMAN",
            "state": "KS",
            "postal_code": "674312517",
            "telephone_number": "785-238-4711",
            "fax_number": "785-530-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONZA PRAIRIE COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KONZA PRAIRIE COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2023-01-06",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "HALLGREN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-238-4711"
    },
    "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": "Konza Prairie Community Health Center Chapman Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Konza Prairie Community Health Center Chapman Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chapman, KS

Sources for this page

Verify at the official NPI Registry.