Active NPI
Goodland Regional Medical Center
- Family Medicine Physician
- Goodland, KS
National Provider Identifier
1467594366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GOODLAND REGIONAL MEDICAL CENTER
- Practice address
- 106 Willow Rd
Goodland, KS 67735 - Phone
- (785) 890-6075
- Fax
- (785) 890-6077
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Diana Lynn Slough
- Title
- Ins/PT Accounts Manager
- Phone
- (785) 890-6012
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Critical Access Hospital Clinic/Center
- Goodland, KS
- NPI 1447392451
O20040630000059
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners 36
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Colby, KS
- NPI 1538307236
-
- Physician Assistant
- Colby, KS
- NPI 1033584867
-
- Nurse Practitioner
- Goodland, KS
- NPI 1699384842
-
- Social Worker
- Goodland, KS
- NPI 1427453141
-
- Social Worker
- Goodland, KS
- NPI 1942928783
-
- Family Nurse Practitioner
- Goodland, KS
- NPI 1982087631
-
- Physician Assistant
- Goodland, KS
- NPI 1598170581
-
- Cardiovascular Disease Physician
- Lakewood, CO
- NPI 1780680777
-
- Surgery Physician
- Lakewood, CO
- NPI 1871539627
-
- Gastroenterology Physician
- Englewood, CO
- NPI 1437477197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040630000059 | KS | Part B Supplier - Clinic/Group Practice | 3375535263 |
Receives reassigned benefits from 33 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Goodland, KS |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
106 Willow Rd
Goodland, KS 67735
Mailing address
106 Willow Rd
Goodland, KS 67735
Phone (785) 890-6075
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100088450E | Medicaid | KS | |
| 111003 | Other | KS | BLUE CROSS BLUE SHIELD |
Other names 1
NPPES NPI Registry- Goodland Family Health Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 16, 2021.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1637020800000",
"number": "1467594366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 WILLOW RD",
"city": "GOODLAND",
"state": "KS",
"postal_code": "67735",
"telephone_number": "785-890-6075",
"fax_number": "785-890-6077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 WILLOW RD",
"city": "GOODLAND",
"state": "KS",
"postal_code": "67735",
"telephone_number": "785-890-6075",
"fax_number": "785-890-6077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOODLAND REGIONAL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2021-11-16",
"certification_date": "2021-11-16",
"status": "A",
"authorized_official_last_name": "SLOUGH",
"authorized_official_first_name": "DIANA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "INS/PT ACCOUNTS MANAGER",
"authorized_official_telephone_number": "785-890-6012"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100088450E",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "111003",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Goodland Family Health Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Goodland Family Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Goodland, KS
- Goodland Home Health,LLC
- Goodland Medical Arts Pharmacy LLC
- Goodland Regional Medical Center
- Goodland Regional Medical Center
- Goodland Regional Medical Center
- Goodland Regional Medical Center
- Goodland Regional Medical Center
- Goodland Regional Medical Center
- Goodland Regional Medical Center
- Goodland Regional Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.