Organization Active NPI

Kearny County Health Department

  • Public Health or Welfare Agency
  • Lakin, KS
National Provider Identifier
1396464889
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
KEARNY COUNTY HEALTH DEPARTMENT
Practice address
402 N Main St
Lakin, KS 67860-6812
Phone
(620) 355-6342
Fax
(620) 355-7129
NPI assigned
Aug 26, 2022
Last updated
Sep 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Authorized official

Name
Shanon Ashley
Title
Provider Enrollment
Phone
(316) 500-1303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

402 N Main St
Lakin, KS 67860-6812

Mailing address

402 N Main St
Lakin, KS 67860-6812
Phone (620) 355-6342

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221026001528 KS Part B Supplier - Mass Immunization (Roster Biller Only) 5496121840 Practice locations: Lakin, KS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662422400000",
    "number": "1396464889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N MAIN ST",
            "city": "LAKIN",
            "state": "KS",
            "postal_code": "678606812",
            "telephone_number": "620-355-6342",
            "fax_number": "620-355-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N MAIN ST",
            "city": "LAKIN",
            "state": "KS",
            "postal_code": "678606812",
            "telephone_number": "620-355-6342",
            "fax_number": "620-355-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEARNY COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A",
        "authorized_official_last_name": "ASHLEY",
        "authorized_official_first_name": "SHANON",
        "authorized_official_title_or_position": "PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "316-500-1303"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakin, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.

Verify at the official NPI Registry.