Active NPI
Citizens Medical Center Inc
- Orthopaedic Surgery Physician
- Colby, KS
National Provider Identifier
1679625487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- CITIZENS MEDICAL CENTER INC
- Practice address
- 100 E College Dr
Colby, KS 67701-3702 - Phone
- (785) 462-7511
- Fax
- (785) 460-4870
- NPI assigned
- Jan 18, 2007
- Organization subpart
- Yes
- Parent organization
- CITIZENS MEDICAL CENTER INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janice S McCart
- Title
- Ceo
- Phone
- (785) 462-7511
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | KS | Primary |
Addresses
Primary practice location
100 E College Dr
Colby, KS 67701-3702
Mailing address
310 E College Dr
Colby, KS 67701-3716
Phone (785) 462-6184
Other names 1
- NORTHWEST KANSAS ORTHOPEDICS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031222000868 | KS | Part B Supplier - Clinic/Group Practice | 8729996467 |
Receives reassigned benefits from 49 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Colby, KS |
National Provider Directory
National Provider Directory- Part of
- Citizens Medical Ctr-Crna
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319414400000",
"number": "1679625487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 E COLLEGE DR",
"city": "COLBY",
"state": "KS",
"postal_code": "677013716",
"telephone_number": "785-462-6184",
"fax_number": "785-462-3020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E COLLEGE DR",
"city": "COLBY",
"state": "KS",
"postal_code": "677013702",
"telephone_number": "785-462-7511",
"fax_number": "785-460-4870"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITIZENS MEDICAL CENTER INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CITIZENS MEDICAL CENTER INC",
"enumeration_date": "2007-01-18",
"last_updated": "2011-10-24",
"status": "A",
"authorized_official_last_name": "MCCART",
"authorized_official_first_name": "JANICE",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "785-462-7511"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "KS",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "NORTHWEST KANSAS ORTHOPEDICS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Colby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.