NPIMap

Organization Active NPI

County of Logan

  • Rural Health Clinic/Center
  • Oakley, KS
National Provider Identifier
1679544811
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
COUNTY OF LOGAN
Practice address
212 Maple Ave
Oakley, KS 67748-1220
Phone
(785) 672-3261
Fax
(785) 672-8194
NPI assigned
Jan 27, 2006
Organization subpart
Yes
Parent organization
LOGAN COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Mr. Joee Shane Meyer
Title
Cfo
Phone
(785) 672-1409

Specialties & licenses 1

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

Addresses

Primary practice location

212 Maple Ave
Oakley, KS 67748-1220

Mailing address

212 Maple Ave
Oakley, KS 67748-1220
Phone (785) 672-3261

Other identifiers 3

IdentifierTypeStateIssuer
178562OtherMEDICARE RURAL HEALTH CLINIC
100296860AMedicaidKS
744OtherKSRURAL HEALTH BCBS

Other names 1

  • New Frontiers Health Services Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101004000449 KS Part A Provider - Rural Health Clinic 7719890904 Practice locations: Oakley, KS

Rural health clinic certification: CCN 178562

Legal name
COUNTY OF LOGAN
Doing business as
NEW FRONTIERS HEALTH SERVICES
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jun 1, 2010
Last certification
Sep 22, 2009
Ownership / control type
2B
Organization structure
GovernmentNon-profit
Enrollment address
212 Maple Ave
Oakley, KS 67748-1220
Related CCNs
171326, 173869

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

National Provider Directory

National Provider Directory
Part of
Logan County Hosp ER MD

Member organizations 1

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

Locations

1001 Highway 40
Ste 4
Oakley, KS 67748
Phone (785) 672-1441

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Aimee Zimmerman Individual W-2 Managing EmployeeCeo Jul 27, 2022 100%
Operational/Managerial ControlCeo Jul 27, 2022 95%
Kimberly Beesley Individual Operational/Managerial ControlClinic Manager Jul 27, 2022 5%
Joee Meyer Individual Contracted Managing EmployeeCfo Sep 6, 2022
Corporate OfficerCfo Sep 6, 2022
Corporate DirectorCfo Sep 6, 2022
W-2 Managing EmployeeCfo Sep 6, 2022

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Logan County HospitalOakley, KS, CCN 171326 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 15, 1951

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 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1679544811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MAPLE AVE",
            "city": "OAKLEY",
            "state": "KS",
            "postal_code": "677481220",
            "telephone_number": "785-672-3261",
            "fax_number": "785-672-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MAPLE AVE",
            "city": "OAKLEY",
            "state": "KS",
            "postal_code": "677481220",
            "telephone_number": "785-672-3261",
            "fax_number": "785-672-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LOGAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOGAN COUNTY HOSPITAL",
        "enumeration_date": "2006-01-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "JOEE",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "785-672-1409",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RURAL HEALTH CLINIC",
            "identifier": "178562",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100296860A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RURAL HEALTH BCBS",
            "identifier": "744",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Frontiers Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "New Frontiers Health Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Oakley, KS

Sources for this page

Verify at the official NPI Registry.