NPIMap

Organization Active NPI

State of Kansas

Doing business as Osawatomie State Hospital

  • Psychiatric Hospital
  • Osawatomie, KS
National Provider Identifier
1396748265
Registry record updated Aug 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
M061101 Issued in KS
Legal business name
STATE OF KANSAS
Doing business as
Osawatomie State Hospital
Practice address
500 State Hospital Drive
Osawatomie, KS 66064-1813
Phone
(913) 755-7000
Fax
(913) 755-7127
NPI assigned
May 24, 2005
Last updated
Aug 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2013

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

Authorized official

Name
Mr. Jerry Rea
Title
Superintendent
Phone
(913) 755-7073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X M061101 KS Primary

Addresses

Primary practice location

500 State Hospital Drive
Osawatomie, KS 66064-1813

Mailing address

500 State Hospital Drive
Osawatomie, KS 66064-1813
Phone (913) 755-7000

Other identifiers 1

IdentifierTypeStateIssuer
100101120BMedicaidKS

Other names 1

  • Osawatomie State Hospital Doing business as

National Provider Directory

National Provider Directory

Locations

3901 Rainbow Blvd
#18
Kansas City, KS 66160
Phone (913) 588-5994

2101 Haworth Hall
Lawrence, KS 66045
Phone (785) 864-4690

2601 Gabriel Ave
Parsons, KS 67357
Phone (620) 421-6550

Practitioners & affiliated clinicians

Practitioners 22

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 22

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377129600000",
    "number": "1396748265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 STATE HOSPITAL DRIVE",
            "city": "OSAWATOMIE",
            "state": "KS",
            "postal_code": "660641813",
            "telephone_number": "913-755-7000",
            "fax_number": "913-755-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 STATE HOSPITAL DRIVE",
            "city": "OSAWATOMIE",
            "state": "KS",
            "postal_code": "660641813",
            "telephone_number": "913-755-7000",
            "fax_number": "913-755-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF KANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2013-08-22",
        "status": "A",
        "authorized_official_last_name": "REA",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "913-755-7073",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "KS",
            "license": "M061101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100101120B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osawatomie State Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Osawatomie, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2013; 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.