NPIMap

Organization Active NPI

Konza Prairie Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Manhattan, KS
National Provider Identifier
1497201347
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
KONZA PRAIRIE COMMUNITY HEALTH CENTER, INC.
Practice address
222 N 6TH St Ste 100
Manhattan, KS 66502-4956
Phone
(785) 320-7134
NPI assigned
Aug 31, 2016
Organization subpart
Yes
Parent organization
KONZA PRAIRIE COMMUNITY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Danielle Hallgren
Title
Ceo
Phone
(785) 238-4711

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

222 N 6TH St Ste 100
Manhattan, KS 66502-4956

Mailing address

361 Grant Ave
Junction City, KS 66441-4201
Phone (785) 238-4711

Other names 1

  • Konza Prairie Community Health Center Riley County Manhattan Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040109000751 KS Part B Supplier - Clinic/Group Practice 3779483466 Receives reassigned benefits from 21 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Junction City, KS; Manhattan, KS; Chapman, KS
O20150603002490 KS Part A Provider - Federally Qualified Health Center (FQHC) 3779483466 Practice locations: Manhattan, KS

Federally qualified health center certification: CCN 171853

Legal name
KONZA PRAIRIE COMMUNITY HEALTH CENTER INC
Doing business as
KONZA PRAIRIE COMMUNITY HEALTH CENTER RILEY COUNTY MANHATTAN CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 3, 2015
Last certification
Jun 3, 2015
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
May 31, 1995 in KS
Enrollment address
222 N 6TH St
Ste 100
Manhattan, KS 66502-4956

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Konza Prairie Community

Ownership & related parties

All disclosed owners & managing parties 13

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lisa Osbourn Individual Corporate DirectorSecretary/Treasurer Dec 20, 2010
Margaret Kilpatrick Individual Corporate DirectorBoard Member Feb 1, 2022
Melanie Griffin-Wood Individual Corporate DirectorBoard Member Sep 1, 2013
Gene Parrish Individual Corporate DirectorVice Chairman Aug 2, 2010
Danielle Hallgren Individual Corporate OfficerCeo Dec 16, 2022
W-2 Managing EmployeeCeo Dec 16, 2022
Susan Adamchak Individual Corporate DirectorBoard Member Jul 1, 2024
Aaron Estabrook Individual Corporate DirectorBoard Member Mar 27, 2020
Irene Portillo Individual Contracted Managing EmployeeCredentialing Manager Sep 1, 2024
Tom Brungardt Individual Corporate DirectorBoard Chairman Mar 22, 2013
Carol Lawson Individual Corporate DirectorBoard Member Jul 1, 2024
Florence C. Whitebread Individual Corporate DirectorBoard Member Aug 2, 2010
Myron Coryell Individual Corporate DirectorBoard Member Aug 2, 2010
Lawrence P. Palmer Individual Corporate DirectorBoard Member Jan 1, 2022

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1497201347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 GRANT AVE",
            "city": "JUNCTION CITY",
            "state": "KS",
            "postal_code": "664414201",
            "telephone_number": "785-238-4711",
            "fax_number": "785-238-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N 6TH ST STE 100",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665024956",
            "telephone_number": "785-320-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONZA PRAIRIE COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KONZA PRAIRIE COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2016-08-31",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "HALLGREN",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-238-4711"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Konza Prairie Community Health Center Riley County Manhattan Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhattan, KS

Sources for this page

Verify at the official NPI Registry.