West Central Kansas Association, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

H084001 Issued in KS

Legal business name

WEST CENTRAL KANSAS ASSOCIATION, INC.

Practice address

200 S Main St
Russell, KS 67665-2920

Phone

(785) 483-3131

Fax

(785) 483-4859

NPI assigned

Jul 28, 2006

Organization subpart

No

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

Authorized official

Name

David Caudill

Title

Ceo

Phone

(785) 483-0708

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Russell Regional Hospital Main Street Manor Doing business as

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyrel K Somers, MD

  • Family Medicine Physician
  • Russell, KS
  • NPI 1174879936
  NPD (past)

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668556800000",
    "number": "1477567204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652920",
            "telephone_number": "785-483-3131",
            "fax_number": "785-483-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652920",
            "telephone_number": "785-483-3131",
            "fax_number": "785-483-4859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST CENTRAL KANSAS ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A",
        "authorized_official_last_name": "CAUDILL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-483-0708"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": "H084001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100445660A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russell Regional Hospital Main Street Manor",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Russell Regional Hospital Main Street Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jodie Rochelle Werth, DDS
• West Central Kansas Association Inc.
• West Central Kansas Association, Inc
• West Central Kansas Association, Inc.
• West Central Kansas Association, Inc.
• West Central Kansas Association, Inc.
• West Central Kansas Association, Inc.
• Wheatland Nursing, LLC
• Arnold Dean Williams Jr.
• Kylie Williams, BCBA

• All providers in Russell, KS
• Nursing Facility/Intermediate Care Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.