NPIMap

Organization Active NPI

South Central Kansas Regional Medical Center

Doing business as SCK Health Primary Care

  • Rural Health Clinic/Center
  • Arkansas City, KS
National Provider Identifier
1659915734
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER
Doing business as
SCK Health Primary Care
SCKC Primary Care
Practice address
6401 Patterson Pkwy
Arkansas City, KS 67005-5701
Phone
(620) 442-2100
Fax
(620) 442-8945
NPI assigned
Nov 1, 2019
Last updated
Apr 1, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Whitney Gilliland
Title
Director of Clinic Operations
Phone
(620) 222-8608

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary
Family Medicine Physician 207Q00000X NU

Addresses

Primary practice location

6401 Patterson Pkwy
Arkansas City, KS 67005-5701

Mailing address

6401 Patterson Pkwy
Arkansas City, KS 67005-5701
Phone (620) 442-2100

Other practice location 1

1300 E 5th Ave
Winfield, KS 67156-2407
Phone (620) 222-6258

Other practice location 2

485 N Ks Hwy 2
Anthony, KS 67003-2526
Phone (620) 914-1200

Other names 2

  • SCK Health Primary Care Doing business as
  • SCKC Primary Care Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040209000555 KS Part B Supplier - Clinic/Group Practice 1456245802 Receives reassigned benefits from 44 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arkansas City, KS
O20201119001588 KS Part A Provider - Rural Health Clinic 1456245802 Practice locations: Arkansas City, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659915734. Details of each certification follow.

Rural health clinic certification: CCN 178632

Legal name
SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER
Doing business as
SCK HEALTH PRIMARY CARE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 22, 2020
Last certification
Dec 22, 2020
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
6401 Patterson Pkwy
Arkansas City, KS 67005-5701
Related CCNs
170150

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Brad Bryant Individual Corporate DirectorVice Chair Feb 20, 2024 25%
Rodger Maechtlen Individual Corporate DirectorChairman Apr 2, 2024 25%
Jay Warren Individual Corporate DirectorSecretary Board Member Feb 17, 2020 25%
Shannon Gray Individual Corporate OfficerCfo Jan 2, 2024
Corporate DirectorCfo Jan 2, 2024
W-2 Managing EmployeeCfo Jan 2, 2024
Chad Beeson Individual Corporate DirectorTreasurer Board Member Jan 2, 2024 25%
Margaret Grismer Individual Corporate OfficerCeo Feb 7, 2025

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
South Central Kansas Regional Medical CenterArkansas City, KS, CCN 17U150 Hospital Operational/Managerial Control (100%) Mar 17, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1659915734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 PATTERSON PKWY",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670055701",
            "telephone_number": "620-442-2100",
            "fax_number": "620-442-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 PATTERSON PKWY",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670055701",
            "telephone_number": "620-442-2100",
            "fax_number": "620-442-8945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 E 5th Ave",
            "address_purpose": "LOCATION",
            "city": "Winfield",
            "state": "KS",
            "postal_code": "671562407",
            "country_code": "US",
            "telephone_number": "620-222-6258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "485 N Ks Hwy 2",
            "address_purpose": "LOCATION",
            "city": "Anthony",
            "state": "KS",
            "postal_code": "670032526",
            "country_code": "US",
            "telephone_number": "620-914-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "GILLILAND",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "DIRECTOR OF CLINIC OPERATIONS",
        "authorized_official_telephone_number": "620-222-8608"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCK Health Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SCKC Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arkansas City, KS

Sources for this page

Verify at the official NPI Registry.