NPIMap

Organization Active NPI

Stormont Vail Health Flint Hills LLC

Doing business as Stormont Vail Health Flint Hills

  • Emergency Medicine Physician
  • Junction City, KS
National Provider Identifier
1447968128
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
STORMONT VAIL HEALTH FLINT HILLS LLC
Doing business as
Stormont Vail Health Flint Hills
Practice address
1102 Saint Marys Rd
Junction City, KS 66441-4139
Phone
(785) 210-3303
NPI assigned
Nov 10, 2022
Last updated
Dec 19, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
STORMONT-VAIL HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Authorized official

Name
Peggy J Burnette
Title
SVP/Cfo
Phone
(785) 354-6148

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Primary
Internal Medicine Physician 207R00000X
Obstetrics & Gynecology Physician 207V00000X
Pediatrics Physician 208000000X
Hospitalist Physician 208M00000X

Addresses

Primary practice location

1102 Saint Marys Rd
Junction City, KS 66441-4139

Mailing address

1102 Saint Marys Rd
Junction City, KS 66441-4139
Phone (785) 210-3303

Other names 1

  • Stormont Vail Health Flint Hills Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230429000051 KS Part B Supplier - Clinic/Group Practice 9032587472 Receives reassigned benefits from 205 practitioners
1 other NPI on this enrollment
Practice locations: Junction City, KS

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Part of
Stormont Vail Laboratory

Practitioners & affiliated clinicians

Practitioners 209

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 209

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702944000000",
    "number": "1447968128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 SAINT MARYS RD",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664414139",
            "telephone_number": "785-210-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 SAINT MARYS RD",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664414139",
            "telephone_number": "785-210-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STORMONT VAIL HEALTH FLINT HILLS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STORMONT-VAIL HEALTHCARE INC",
        "enumeration_date": "2022-11-10",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A",
        "authorized_official_last_name": "BURNETTE",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SVP/CFO",
        "authorized_official_telephone_number": "785-354-6148"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Stormont Vail Health Flint Hills",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Stormont Vail Health Flint Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Junction City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.