County of Rawlins

Organization Active NPI Health Service Clinic/Center · Atwood, KS

NPI 1669464087 · NPPES record last updated Oct 28, 2024

Key facts

NPI
1669464087
Entity type
Organization (NPI type 2)
Primary specialty
Health Service Clinic/Center 261QH0100X
License
48-6029925 (KS)
Legal business name
COUNTY OF RAWLINS
Practice address
216 S. 4TH Street
Atwood, KS 67730
Phone
(785) 626-3968
Fax
(785) 626-3876
NPI assigned
Aug 22, 2005
Organization subpart
No

Authorized official

Name
Mary K Clark
Title
Administrator
Phone
(785) 626-3968

Owned or controlled facilities with NPI records 1

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

Other NPIs with the same Medicare PAC ID 1

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Member organizations 1

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0648393Rawlins County Public Health Dept
216 South 4TH, Atwood, KS 67730
Certificate of waiverAug 31, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in KS

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Rawlins County Health Center
Atwood, KS · CCN 171307
Hospital 5% Or Greater Direct Ownership Interest (5%) Oct 31, 1995

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20240520002643 KS Part B Supplier - Mass Immunization (Roster Biller Only) 3274443239 Practice locations: Atwood, KS

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 48-6029925 KS Yes

Addresses

Primary practice location

216 S. 4TH Street
Atwood, KS 67730

Mailing address

216 S. 4TH Street
Atwood, KS 67730
Phone (785) 626-3968

Other identifiers

IdentifierTypeStateIssuer
012743OtherKSBLUE CROSS BLUE SHIELD
100091430AMedicaidKS

Other names

  • Rawlins County Public Health Department Doing business as

Other providers in Atwood, KS

All providers in Atwood, KS · Health Service Clinic/Center in Kansas

Sources for this page

Verify at the official NPI Registry.