Parsons State Hospital and Training Center

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

M050101 Issued in KS

Legal business name

PARSONS STATE HOSPITAL AND TRAINING CENTER

Practice address

2601 Gabriel Ave
Parsons, KS 67357-2341

Phone

(620) 421-6550

Fax

(620) 421-3623

NPI assigned

Jul 21, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jerry Allen Rea, PH.D.

Title

Acting Superintendent

Phone

(620) 421-6550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679573554. Details of each certification follow.

• CCN 17G003 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 17G003

Legal name

PARSONS STATE HOSPITAL & TRAINING CENTER

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Apr 1, 1976

Last certification

Nov 16, 2023

Beds

336

Ownership / control type

State

Facility address

2601 Gabriel
Parsons, KS 67357

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

CLIA laboratory certificates

Practitioners 3

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.

• Rebecca Ann Butts, APRN, FNP-BC

  • Community Health/Public Health Clinical Nurse Specialist
  • Parsons, KS
  • NPI 1992060388
  NPD (past)
• Sonya K Culver, DO

  • Family Medicine Physician
  • Parsons, KS
  • NPI 1164423950
  NPD (past)
• Julie Lynn Huffman Driskel, FNP-BC

  • Family Nurse Practitioner
  • Parsons, KS
  • NPI 1891108056
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679573554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 GABRIEL AVE",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673572341",
            "telephone_number": "620-421-6550",
            "fax_number": "620-421-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 GABRIEL AVE",
            "city": "PARSONS",
            "state": "KS",
            "postal_code": "673572341",
            "telephone_number": "620-421-6550",
            "fax_number": "620-421-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARSONS STATE HOSPITAL AND TRAINING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REA",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "ACTING SUPERINTENDENT",
        "authorized_official_telephone_number": "620-421-6550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "KS",
            "license": "M050101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parsons Dental Care LLC
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• Parsons Family Dentistry, LLC
• Parsons Family Medicine, LLC
• Parsons Family Pharmacy Inc (Parsons Family Pharmacy)
• Yegor Pashchenko
• Yash Patel, M.D.
• Kara Paulie
• Performance Enhancement Physical Therapy, LLC
• Miranda Dawn Plumlee, APRN

• Intellectual Disabilities Intermediate Care Facility in Parsons, KS
• Providers in Parsons, KS by specialty
• Intellectual Disabilities Intermediate Care Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.