Organization Active NPI

County of Scott

  • State or Local Public Health Clinic/Center
  • Scott City, KS
National Provider Identifier
1669429015
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
State or Local Public Health Clinic/CenterTaxonomy code 261QP0905X
Legal business name
COUNTY OF SCOTT
Practice address
608 Main St
Scott City, KS 67871-1517
Phone
(620) 872-5774
Fax
(620) 872-2314
NPI assigned
May 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Karen Jane Sattler, R.N.
Title
Administrator
Phone
(620) 872-5774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
State or Local Public Health Clinic/Center 261QP0905X Primary

Addresses

Primary practice location

608 Main St
Scott City, KS 67871-1517

Mailing address

608 Main St
Scott City, KS 67871-1517
Phone (620) 872-5774

Other identifiers 1

IdentifierTypeStateIssuer
100116940AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091116000229 KS Part B Supplier - Mass Immunization (Roster Biller Only) 3274580303 Practice locations: Scott City, KS

National Provider Directory

National Provider Directory

Locations

306 Church St
Scott City, KS 67871
Phone (620) 872-5774

608 S Main St
Scott City, KS 67871
Phone (620) 872-5774

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Park Lane Nursing HomeScott City, KS, CCN 175525 Skilled nursing facility Adp of the SNF Apr 3, 1989

Owned or controlled facilities with NPI records 1

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

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1669429015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 MAIN ST",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "678711517",
            "telephone_number": "620-872-5774",
            "fax_number": "620-872-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 MAIN ST",
            "city": "SCOTT CITY",
            "state": "KS",
            "postal_code": "678711517",
            "telephone_number": "620-872-5774",
            "fax_number": "620-872-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SCOTT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "SATTLER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "620-872-5774",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "261QP0905X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, State or Local",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100116940A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scott City, KS

Sources for this page

Verify at the official NPI Registry.