NPIMap

Organization Active NPI

Hospital District 5 of Harper County, Kansas

  • Rural Health Clinic/Center
  • Harper, KS
National Provider Identifier
1629039219
Registry record updated Apr 23, 2014
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Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
H039003 Issued in KS
Legal business name
HOSPITAL DISTRICT 5 OF HARPER COUNTY, KANSAS
Practice address
700 W 13TH St
Harper, KS 67058-1480
Phone
(620) 896-7306
Fax
(620) 896-2084
NPI assigned
Mar 31, 2006
Last updated
Apr 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Bill Widener
Title
Administrator
Phone
(620) 896-7324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X H039003 KS Primary

Addresses

Primary practice location

700 W 13TH St
Harper, KS 67058-1480

Mailing address

700 W 13TH St
Harper, KS 67058-1401
Phone (620) 896-7324

Other identifiers 1

IdentifierTypeStateIssuer
100098960DMedicaidKS

Other names 1

  • HARPER HOSPITAL MEDICAL CLINIC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629039219. Details of each certification follow.

Rural health clinic certification: CCN 173407

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HARPER RURAL HEALTH CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Sep 1, 1994
Last certification
Sep 10, 2010
Ownership / control type
Non-profit – church related
Most recent change of ownership
Nov 1, 2017 (1 total)
Facility address
700 W 13TH Street
Harper, KS 67058

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1629039219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W 13TH ST",
            "city": "HARPER",
            "state": "KS",
            "postal_code": "670581401",
            "telephone_number": "620-896-7324",
            "fax_number": "620-896-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 13TH ST",
            "city": "HARPER",
            "state": "KS",
            "postal_code": "670581480",
            "telephone_number": "620-896-7306",
            "fax_number": "620-896-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOSPITAL DISTRICT 5 OF HARPER COUNTY, KANSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "WIDENER",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "620-896-7324"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KS",
            "license": "H039003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100098960D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARPER HOSPITAL MEDICAL CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harper, KS

Sources for this page

Verify at the official NPI Registry.