County of Wallace

Primary specialty

State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X

Legal business name

COUNTY OF WALLACE

Doing business as

Wallace County Health Department

Practice address

104 E 4TH
Sharon Springs, KS 67758-9715

Phone

(785) 852-4272

Fax

(785) 852-4249

NPI assigned

Oct 18, 2006

Last updated

Dec 23, 2024By 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

Tonya Medina, ADMINISTRATOR

Title

Adm/RN

Phone

(785) 852-4272

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Wallace County Health Department Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• County of Wallace

  dba Wallace County Ambulance

  • Land Ambulance
  • Sharon Springs, KS
  • NPI 1396711362

  5890742555

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

County of Wallace2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• County of Wallace

  dba Wallace County Ambulance

  • Land Ambulance
  • Sharon Springs, KS
  • NPI 1396711362
  NPD tax ID

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1477634301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 MAIN ST.",
            "city": "SHARON SPRINGS",
            "state": "KS",
            "postal_code": "67758",
            "telephone_number": "785-852-4272",
            "fax_number": "785-852-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E 4TH",
            "city": "SHARON SPRINGS",
            "state": "KS",
            "postal_code": "677589715",
            "telephone_number": "785-852-4272",
            "fax_number": "785-852-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF WALLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "ADM/RN",
        "authorized_official_telephone_number": "785-852-4272",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "KS",
            "license": "0523662",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1477634301",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100091770A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477634301",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wallace County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shaddon Jay Case, D.C.
• Collett Chiropractic LLC
• Alicia Collett, D.C.
• Jordan Compton, CPTA
• County of Wallace (Wallace County Ambulance)
• Kimberly A Dansel, PA-C
• Greeley County Health Services Inc (Wallace County Family Practice Clinic)
• Greeley County Health Services, Inc (Wallace County Family Practice Clinic)
• Hope Springs LLC
• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Prairie Manor)

• State or Local Public Health Clinic/Center in Sharon Springs, KS
• Providers in Sharon Springs, KS by specialty
• State or Local Public Health Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.