NPIMap

Organization Active NPI

Community Health Center of Southeast Kansas Inc

  • Federally Qualified Health Center (FQHC)
  • Pittsburg, KS
National Provider Identifier
1669474425
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC
Practice address
3011 N Michigan St
Pittsburg, KS 66762-2546
Phone
(620) 231-9873
NPI assigned
Aug 11, 2005
Last updated
Jun 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Authorized official

Name
Krista K Postai
Title
Ceo
Phone
(620) 231-9873

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

3011 N Michigan St
Pittsburg, KS 66762-2546

Mailing address

3011 N Michigan St
Pittsburg, KS 66762-2546
Phone (620) 231-9873

Other identifiers 6

IdentifierTypeStateIssuer
100456320AMedicaidKS
506100304MedicaidMO
463501OtherCHILDRENS MERCY FHP
110931OtherKSBLUE CROSS BLUE SHIELD
17-1820OtherNGS
200099190DMedicaidOK

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030228000000 KS Part A Provider - Federally Qualified Health Center (FQHC) 7911816392 Practice locations: Pittsburg, KS
O20040209000163 KS Part B Supplier - Clinic/Group Practice 7911816392 Receives reassigned benefits from 184 practitioners
23 other NPIs on this enrollment
Practice locations: Parsons, KS; Pleasanton, KS; Pittsburg, KS; Mound City, KS; La Cygne, KS; Iola, KS; Independence, KS; Garnett, KS…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669474425. Details of each certification follow.

Federally qualified health center certification: CCN 171820

Legal name
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC
Doing business as
COMM. HLTH. CNTR. OF SE KANSAS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 24, 2003
Last certification
Apr 24, 2003
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 20, 2001 in KS
Enrollment address
3011 N Michigan St
Pittsburg, KS 66762-2546

Other NPIs on the same Medicare enrollment 23

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

View all 23

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Rachel Ruiz Individual Corporate Officer Jan 1, 2023
Krista Kay Postai Individual 5% Or Greater Direct Ownership InterestCeo Nov 2, 2004 100%
Corporate DirectorCeo Nov 2, 2004 100%
W-2 Managing EmployeeCeo Nov 2, 2004 100%
Operational/Managerial ControlCeo Nov 2, 2004 100%
David Shepherd Individual Corporate OfficerTreasurer Apr 18, 2019
Nancy Haire Individual Corporate OfficerSecretary Nov 1, 2021
Judy a. Westhoff Individual Corporate Officer Jan 1, 2002
Travis Wilson Individual Corporate Officer Oct 30, 1982
Brian Jones Individual Corporate Officer Nov 1, 2007
Sandra Cobos Cenobio Individual Corporate Officer Apr 20, 2023
Shawn Naccarato Individual Corporate Officer Aug 20, 2020
Jason M Wesco Individual Corporate DirectorPresident Jan 1, 2021 100%
W-2 Managing EmployeePresident Jan 1, 2021
Dawn Flores Individual Corporate Officer Nov 1, 2005
Daniel Creitz Individual Corporate DirectorSr Vice President Jan 1, 2022 100%
W-2 Managing EmployeeSr Vice President Jan 1, 2022 100%
John Wyrick Individual Corporate Officer Nov 1, 2016
Ginger Nance Individual Corporate Officer Nov 1, 2022
Jake Letner Individual Corporate OfficerVice Chair Apr 18, 2019
Patrick O'Bryan Individual Corporate OfficerChair Nov 1, 2017

All facility ownership & control disclosures 19

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

FacilityTypeRoleSince
Community Health Center of Southeast Kansas IncCoffeyville, KS, CCN 171840 Federally qualified health center Operational/Managerial Control (100%) Nov 15, 2011
Community Health Center of Southeast Kansas/CoffeyvilleCoffeyville, KS, CCN 171842 Federally qualified health center Operational/Managerial Control (100%) Jan 2, 2012
Community Health Center of Southeast Kansas/IolaIola, KS, CCN 171846 Federally qualified health center Operational/Managerial Control (100%) Dec 1, 2008
CHC/Sek's Field Kindley Student Health CenterCoffeyville, KS, CCN 171849 Federally qualified health center Operational/Managerial Control Oct 15, 2013
Community Health Center of Southeast Kansas IncIndependence, KS, CCN 171850 Federally qualified health center Operational/Managerial Control (100%) Jun 2, 2014
Community Health Center of Southeast Kansas/ParsonsParsons, KS, CCN 171861 Federally qualified health center Operational/Managerial Control (100%) Aug 31, 2015
Community Health Center of Southeast Kansas/PleasantonPleasanton, KS, CCN 171885 Federally qualified health center Operational/Managerial Control (100%) Dec 31, 2018
CHC/Sek Arma ClinicArma, KS, CCN 171886 Federally qualified health center Operational/Managerial Control (100%) Dec 31, 2018
Community Health Center of Southeast Kansas Inc/Fort Scott Main ClinicFort Scott, KS, CCN 171887 Federally qualified health center Operational/Managerial Control (100%) Dec 31, 2018
Community Health Center of Southeast Kansas/Mound CityMound City, KS, CCN 171889 Federally qualified health center Operational/Managerial Control (100%) Dec 31, 2018
CHC/Ok Miami ClinicMiami, OK, CCN 371945 Federally qualified health center Operational/Managerial Control Nov 20, 2019
Community Health Center of Southeast Kansas IncPittsburg, KS, CCN 171891 Federally qualified health center Operational/Managerial Control Oct 17, 2018
CHC/Sek South PittsburgPittsburg, KS, CCN 171895 Federally qualified health center Operational/Managerial Control Apr 17, 2020
Community Health Center of Southeast Kansas IncLa Cygne, KS, CCN 171905 Federally qualified health center Operational/Managerial Control (100%) Sep 24, 2021
Community Health Center of Southeast Kansas IncColumbus, KS, CCN 171017 Federally qualified health center Operational/Managerial Control (100%) Nov 7, 2022
Community Health Center of Southeast Kansas IncBaxter Springs, KS, CCN 171018 Federally qualified health center Operational/Managerial Control (100%) Feb 1, 2023
Community Health Center of Southeast Kansas IncIola, KS, CCN 171019 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2023
Community Health Center of Southeast Kansas IncPittsburg, KS, CCN 171024 Federally qualified health center Operational/Managerial Control Aug 1, 2023
Community Health Center of Southeast Kansas IncHumboldt, KS, CCN 171026 Federally qualified health center Operational/Managerial Control Apr 1, 2024

Practitioners & affiliated clinicians

Practitioners 189

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.

View all 189

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654214400000",
    "number": "1669474425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 N MICHIGAN ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622546",
            "telephone_number": "620-231-9873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 N MICHIGAN ST",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667622546",
            "telephone_number": "620-231-9873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A",
        "authorized_official_last_name": "POSTAI",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-231-9873"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100456320A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "506100304",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDRENS MERCY FHP",
            "identifier": "463501",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "110931",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NGS",
            "identifier": "17-1820",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200099190D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

Verify at the official NPI Registry.