Rooks County Medical Associates PA
Organization Active NPI Rural Health Clinic/Center · Stockton, KS
NPI 1508841552 · NPPES record last updated Jun 23, 2008
Key facts
- NPI
- 1508841552
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 05 28153 (KS)
- Legal business name
- ROOKS COUNTY MEDICAL ASSOCIATES PA
- Practice address
- 623 S 2ND St
Stockton, KS 67669-1966 - Phone
- (785) 425-6417
- Fax
- (785) 425-6138
- NPI assigned
- Dec 13, 2005
- Organization subpart
- No
Authorized official
- Name
- Ann Renee Taylor, DO
- Title
- President
- Phone
- (785) 425-6417
Practitioners 3
-
Ann Renee Taylor, DO
-
Genevieve Robben-Rahjes, ARNP
-
Julie Lynn Siefers, PA-C
National Provider Directory
Locations
129 S Main St
#100
Kensington, KS 66951
Phone (785) 476-2454
623 S 2nd St
Stockton, KS 67669
Phone (785) 425-6417
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 05 28153 | KS | Yes |
Addresses
Primary practice location
623 S 2ND St
Stockton, KS 67669-1966
Mailing address
623 S 2ND St
Stockton, KS 67669-1966
Phone (785) 425-6417
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080179741 | Other | KS | RAILROAD MEDICARE |
| 100429910B | Other | KS | MEDICAID FACILITY |
| 110843 | Other | KS | BC BS |
| 2087670501 | Medicaid | KS |
Other providers in Stockton, KS
- Phillipsburg Chiropractic Center, PA
- Loral Lee Portenier
- Revive Mental Health Solutions LLC
- Rooks County Health Center
- Rooks County Health Center
- Stockton Pharmacy, Inc.
- Usd # 271
- Pamela R. Wilson
All providers in Stockton, KS · Rural Health Clinic/Center in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.