Phillips County Retirement Corporation

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

N074003 Issued in KS

Legal business name

PHILLIPS COUNTY RETIREMENT CORPORATION

Doing business as

Phillips County Retirement Center

Practice address

1300 State Street
Phillipsburg, KS 67661

Phone

(785) 543-2131

Fax

(785) 543-5200

NPI assigned

Mar 9, 2007

Last updated

Jun 26, 2012By 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

Mrs. Kristi Kuck

Title

Administrator

Phone

(785) 543-2131

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Phillips County Retirement Center Doing business as

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

CLIA laboratory certificates

Practitioners 1

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.

• Tyson Brant Wisinger, M.D.

  • Family Medicine Physician
  • Phillipsburg, KS
  • NPI 1437537438
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1477685162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 STATE STREET",
            "address_2": "P.O. BOX 628",
            "city": "PHILLIPSBURG",
            "state": "KS",
            "postal_code": "67661",
            "telephone_number": "785-543-2131",
            "fax_number": "785-543-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 STATE STREET",
            "city": "PHILLIPSBURG",
            "state": "KS",
            "postal_code": "67661",
            "telephone_number": "785-543-2131",
            "fax_number": "785-543-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS COUNTY RETIREMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "KUCK",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "785-543-2131",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KS",
            "license": "N074003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE I.D.",
            "identifier": "N074003",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110111750A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phillips County Retirement Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Phillips County Hospital (Phillips County Health Systems)
• Phillips County Hospital (Phillips County Health Systems)
• Phillips County Hospital
• Phillips County Hospital
• Phillips County Hospital
• Phillipsburg Chiropractic Center, P.a. (Living Truth Health and Wellness)
• Shayne Runnion
• Heidi L Schemper, OT
• Megan Stapel
• Amanda Jo Stock

• Nursing Facility/Intermediate Care Facility in Phillipsburg, KS
• Providers in Phillipsburg, KS by specialty
• Nursing Facility/Intermediate Care Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.