NPIMap

Organization Active NPI

Gray County Health Department

  • State or Local Public Health Clinic/Center
  • Cimarron, KS
National Provider Identifier
1457690307
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
GRAY COUNTY HEALTH DEPARTMENT
Practice address
300 South Main
Cimarron, KS 67835-0487
Phone
(620) 855-2424
Fax
(620) 855-7007
NPI assigned
Feb 12, 2013
Last updated
Feb 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Rayna Maddox, RN
Title
Director/Administrator
Phone
(620) 855-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X KS Primary

Addresses

Primary practice location

300 South Main
Cimarron, KS 67835-0487

Mailing address

300 South Main
Cimarron, KS 67835-0487
Phone (620) 855-2424

Other identifiers 1

IdentifierTypeStateIssuer
100113640AMedicaidKS

National Provider Directory

National Provider Directory
Tax ID family
County of Gray3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1457690307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SOUTH MAIN",
            "city": "CIMARRON",
            "state": "KS",
            "postal_code": "678350487",
            "telephone_number": "620-855-2424",
            "fax_number": "620-855-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SOUTH MAIN",
            "city": "CIMARRON",
            "state": "KS",
            "postal_code": "678350487",
            "telephone_number": "620-855-2424",
            "fax_number": "620-855-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAY COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "RAYNA",
        "authorized_official_title_or_position": "DIRECTOR/ADMINISTRATOR",
        "authorized_official_telephone_number": "620-855-2424",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100113640A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cimarron, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.