Jefferson County Memorial Hospital

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

JEFFERSON COUNTY MEMORIAL HOSPITAL

Doing business as

FW Huston Medical Clinic

Practice address

504 Plaza Dr
Suite 300
Perry, KS 66073-4136

Phone

(913) 774-4340

Fax

(913) 774-3379

NPI assigned

Apr 30, 2014

Last updated

Jun 23, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lamont Cook

Title

Ceo

Phone

(913) 774-4340

Specialties & licenses 1

Addresses

Other names 1

• FW Huston Medical Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

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

• Jefferson County Memorial Hospital

  dba F. W. Huston Medical Center

  • Psychiatry Physician
  • Nortonville, KS
  • NPI 1215459367

  O20050215000085

  Same enrollment
• Jefferson County Memorial Hospital

  dba Jefferson Medical Clinic Valley Falls

  • Multi-Specialty Clinic/Center
  • Valley Falls, KS
  • NPI 1265739288

  O20050215000085

  Same enrollment
• Jefferson County Memorial Hospital, Inc

  dba Jefferson Medical Clinic

  • Physician Assistant
  • Winchester, KS
  • NPI 1750354908

  O20050215000085

  Same enrollment
• Jefferson County Memorial Hospital, Inc

  • Multi-Specialty Clinic/Center
  • Basehor, KS
  • NPI 1871969865

  O20050215000085

  Same enrollment

Locations

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1447660360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 DELAWARE ST",
            "city": "WINCHESTER",
            "state": "KS",
            "postal_code": "660974003",
            "telephone_number": "913-774-4340",
            "fax_number": "913-774-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 PLAZA DR",
            "address_2": "SUITE 300",
            "city": "PERRY",
            "state": "KS",
            "postal_code": "660734136",
            "telephone_number": "913-774-4340",
            "fax_number": "913-774-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON COUNTY MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-30",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "LAMONT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "913-774-4340",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FW Huston Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sandra Bowman, L.P.T.
• Complete Chiropractic, Rehab, & Wellness LLC (Perry Lake Chiropractic Wellness Center)
• Alexander Jospeh Hemme, D.C.
• Nikolay Kalinichenko
• Perry Lake Wellness Solution Centers, LLC
• Perry Public Schools Usd343
• Plainsmen Health Services Inc.
• Cara Dawn Porter, CPT

• Multi-Specialty Clinic/Center in Perry, KS
• Providers in Perry, KS by specialty
• Multi-Specialty Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.