Community Health Center of Southeast Kansas, Inc.
Organization Active NPI Federally Qualified Health Center (FQHC) · Iola, KS
NPI 1609025485 · NPPES record last updated Aug 14, 2018
Key facts
- NPI
- 1609025485
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.
- Practice address
- 2051 N State St
Iola, KS 66749 - Phone
- (620) 380-6600
- Fax
- (620) 380-6215
- NPI assigned
- Sep 16, 2008
- Organization subpart
- No
Authorized official
- Name
- Ms. Krista K Postai
- Title
- Ceo
- Phone
- (620) 231-9873
Other NPIs on the same Medicare enrollment 23
Facilities with the same owner 18
Practitioners 10
-
Kristen Marie Anderson, DNP, APRN, FNP-C
-
Rebecca A French, ARNP-C
-
Joyce Jinelle Gonzales, APRN
-
Shannon Nicole Johnson, APRN
-
Elizabeth Jane Rogers, D.D.S.
-
Erik Russell Unruh, MD, MPH
-
Annette Diane Vananne, ARNP, CNM
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in KS
Federally qualified health center certification: CCN 171846
- Legal name
- COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC
- Doing business as
- COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS/IOLA
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Jun 14, 2013
- Last certification
- Jun 14, 2013
- Ownership / control type
- Non-profit – church related
- Organization structure
- Corporation · Non-profit
- Incorporated
- Nov 20, 2001 in KS
- Enrollment address
- 2051 N State St
Iola, KS 66749-1677
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Krista Kay Postai |
Corporate Officer |
Nov 4, 2004 | 100% |
| Operational/Managerial Control | Dec 1, 2008 | 100% | |
| Community Health Center of Southeast Kansas Inc |
Operational/Managerial Control | Dec 1, 2008 | 100% |
All facility ownership & control disclosures 18
| Facility | Type | Role | Since |
|---|---|---|---|
| Community Health Center of Southeast Kansas Inc |
Federally qualified health center | Operational/Managerial Control (100%) | Nov 15, 2011 |
| Community Health Center of Southeast Kansas/Coffeyville |
Federally qualified health center | Operational/Managerial Control (100%) | Jan 2, 2012 |
| CHC/Sek'S Field Kindley Student Health Center |
Federally qualified health center | Operational/Managerial Control | Oct 15, 2013 |
| Community Health Center of Southeast Kansas Inc |
Federally qualified health center | Operational/Managerial Control (100%) | Jun 2, 2014 |
| Community Health Center of Southeast Kansas/Parsons |
Federally qualified health center | Operational/Managerial Control (100%) | Aug 31, 2015 |
| Community Health Center of Southeast Kansas/Pleasanton |
Federally qualified health center | Operational/Managerial Control (100%) | Dec 31, 2018 |
| CHC/Sek Arma Clinic |
Federally qualified health center | Operational/Managerial Control (100%) | Dec 31, 2018 |
| Community Health Center of Southeast Kansas Inc/Fort Scott Main Clinic |
Federally qualified health center | Operational/Managerial Control (100%) | Dec 31, 2018 |
| Community Health Center of Southeast Kansas/Mound City |
Federally qualified health center | Operational/Managerial Control (100%) | Dec 31, 2018 |
| CHC/Ok Miami Clinic |
Federally qualified health center | Operational/Managerial Control | Nov 20, 2019 |
| Community Health Center of Southeast Kansas Inc |
Federally qualified health center | Operational/Managerial Control | Oct 17, 2018 |
| CHC/Sek South Pittsburg |
Federally qualified health center | Operational/Managerial Control | Apr 17, 2020 |
| Community Health Center of Southeast Kansas Inc |
Federally qualified health center | Operational/Managerial Control (100%) | Sep 24, 2021 |
| Community Health Center of Southeast Kansas Inc |
Federally qualified health center | Operational/Managerial Control (100%) | Nov 7, 2022 |
| Community Health Center of Southeast Kansas Inc |
Federally qualified health center | Operational/Managerial Control (100%) | Feb 1, 2023 |
| Community Health Center of Southeast Kansas Inc |
Federally qualified health center | Operational/Managerial Control (100%) | Jan 1, 2023 |
| Community Health Center of Southeast Kansas Inc |
Federally qualified health center | Operational/Managerial Control | Aug 1, 2023 |
| Community Health Center of Southeast Kansas Inc |
Federally qualified health center | Operational/Managerial Control | Apr 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040209000163 | KS | Part B Supplier - Clinic/Group Practice | 7911816392 |
Receives reassigned benefits from 184 practitioners 23 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Parsons, KS; Pleasanton, KS; Pittsburg, KS; Mound City, KS; La Cygne, KS; Iola, KS; Independence, KS; Garnett, KS… |
| O20130514000683 | KS | Part a Provider - Federally Qualified Health Center (FQHC) | 7911816392 | Practice locations: Iola, KS |
National Provider Directory
Locations
2051 N State St
#340B565100
Iola, KS 66749
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
2051 N State St
Iola, KS 66749
Mailing address
PO Box 1832
Pittsburg, KS 66762-1832
Phone (620) 231-9873
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100456320S | Medicaid | KS |
Other providers in Iola, KS
- Ryan Nicholas Coffield
- Darci Taylor Collins
- Community Health Center of Southeast Kansas Inc
- Community Health Center of Southeast Kansas, Inc.
- Community Health Center of Southeast Kansas, Inc.
- Counseling Therapy, Inc.
- Country Care Residential Services, Inc.
- County of Allen
- Carlyn Q Crow
- Kayla Crumpacker
All providers in Iola, KS · Federally Qualified Health Center (FQHC) in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.