NPIMap

Organization Active NPI

Great Plains of Smith Co., Inc.

Doing business as Smith County Family Practice

  • Rural Health Clinic/Center
  • Smith Center, KS
National Provider Identifier
1396773180
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
GREAT PLAINS OF SMITH CO., INC.
Doing business as
Smith County Family Practice
Practice address
921 E Highway 36
Smith Center, KS 66967
Phone
(785) 282-6834
Fax
(785) 282-3793
NPI assigned
Jun 29, 2006
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
GREAT PLAINS OF SMITH CO., INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Sarah Ragsdale
Title
Ceo
Phone
(785) 282-6845

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

921 E Highway 36
Smith Center, KS 66967

Mailing address

PO Box 349
Smith Center, KS 66967-0349
Phone (785) 282-6834

Other identifiers 3

IdentifierTypeStateIssuer
001535OtherKSBLUE CROSS
001535OtherKSBLUE CROSS/BLUE SHIELD
100409890 BMedicaidKS

Other names 1

  • Smith County Family Practice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030131000000 KS Part A Provider - Rural Health Clinic 2860300530 Practice locations: Smith Center, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396773180. Details of each certification follow.

Rural health clinic certification: CCN 178505

Legal name
GREAT PLAINS OF SMITH CO INC
Doing business as
SMITH COUNTY FAMILY PRACTICE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 27, 2003
Last certification
Jul 6, 2009
Ownership / control type
Non-profit – church related
Organization structure
CorporationNon-profit
Incorporated
Jun 14, 1999 in KS
Enrollment address
921 E Highway 36
Smith Center, KS 66967-9582
Related CCNs
178505

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Tax ID family
Smith Co Memorial Hospit13 organizations share this tax ID, including this one
Part of
Smith Co Memorial Hospit

Other organizations with this tax ID 12

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

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
John Terrill Individual Corporate Officer Sep 19, 2007
Great Plains Health Alliance Inc Organization, Wichita, KS Management services company Operational/Managerial Control Jun 1, 1986 100%
Steve L Carlson Individual Corporate OfficerTreasurer May 24, 1988
Barbara a Brown Applegate Individual Corporate Officer Sep 20, 2011
Sarah Ragsdale Individual Corporate DirectorCeo Jan 1, 2024 50%
W-2 Managing EmployeeCeo Jan 1, 2024 50%
Roger S John Individual Corporate OfficerBoard Member Apr 1, 1999
Curt Colson Individual Corporate OfficerChain Home Office Administator Apr 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.

Facilities with the same owner 29

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1396773180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 349",
            "city": "SMITH CENTER",
            "state": "KS",
            "postal_code": "669670349",
            "telephone_number": "785-282-6834",
            "fax_number": "785-282-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E HIGHWAY 36",
            "city": "SMITH CENTER",
            "state": "KS",
            "postal_code": "66967",
            "telephone_number": "785-282-6834",
            "fax_number": "785-282-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT PLAINS OF SMITH CO., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREAT PLAINS OF SMITH CO., INC",
        "enumeration_date": "2006-06-29",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "RAGSDALE",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-282-6845"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "001535",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "001535",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100409890 B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smith County Family Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Smith County Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smith Center, KS

Sources for this page

Verify at the official NPI Registry.