NPIMap

Organization Active NPI

Kansas Medical Center, LLC

Doing business as Family Health Center

  • Family Medicine Physician
  • Derby, KS
National Provider Identifier
1407237381
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KANSAS MEDICAL CENTER, LLC
Doing business as
Family Health Center
Practice address
1410 N Woodlawn Blvd
Derby, KS 67037-2953
Phone
(316) 788-3741
Fax
(316) 788-5198
NPI assigned
Jun 16, 2015
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Mr. Steven Hadley
Title
Chief Business Executive
Phone
(316) 300-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X KS Primary

Addresses

Primary practice location

1410 N Woodlawn Blvd
Derby, KS 67037-2953

Mailing address

1410 N Woodlawn Blvd
Derby, KS 67037-2953
Phone (316) 788-3741

Other names 1

  • Family Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061109000659 KS Part B Supplier - Clinic/Group Practice 2668476862 Receives reassigned benefits from 64 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Andover, KS; Wichita, KS; Neodosha, KS; Meade, KS; Liberal, KS; Kingman, KS; Independence, KS; Fredonia, KS…

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory
Tax ID family
Cypress Heart4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4D1ac_Ty5h2vV--oigqxzpJxwsTeHb_k/

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1407237381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 N WOODLAWN BLVD",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372953",
            "telephone_number": "316-788-3741",
            "fax_number": "316-788-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N WOODLAWN BLVD",
            "city": "DERBY",
            "state": "KS",
            "postal_code": "670372953",
            "telephone_number": "316-788-3741",
            "fax_number": "316-788-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANSAS MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "HADLEY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CHIEF BUSINESS EXECUTIVE",
        "authorized_official_telephone_number": "316-300-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Derby, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.