Pratt Regional Medical Center Corporation
Organization Active NPI Infusion Therapy Clinic/Center · Pratt, KS
NPI 1689246753 · NPPES record last updated Feb 17, 2025
Key facts
- NPI
- 1689246753
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Infusion Therapy Clinic/Center 261QI0500X
- Legal business name
- PRATT REGIONAL MEDICAL CENTER CORPORATION
- Practice address
- 1600 E 1St St
Pratt, KS 67124-2070 - Phone
- (620) 770-4117
- NPI assigned
- Jul 16, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- PRATT REGIONAL MEDICAL CENTER CORPORATION
Authorized official
- Name
- Tammy Smith
- Title
- Ceo
- Phone
- (620) 672-7451
Other NPIs on the same Medicare enrollment 6
Practitioners 48
-
Mary Annette Adelhardt, ARNP
-
Laura E Ballard, APRN
-
Trent Dylan Befort, APRN
-
Hannah Bingham, MD
-
Vicki Bortzer, DNP
-
Nicholas Burbach, P.A.
-
Paul Casper, PA
-
Denise R Conant, ARNP
-
Luis E Espinoza, MD
-
Jacquelyn Rene Forssberg, APRN
-
Janetta K Freeman, RNC, PAC
-
Scott William Gordon, DPM
-
Sandra Sue Govro, FNP-BC, PMHNP-BC
-
Rachael D Hauser, MD
-
Sara A Hildreth, PA-C
-
Hannah Hoppes, DNP, FNP-BC
-
Jacquelyn S Kemmerer, DNP
-
Candace D Koirth, ARNP
-
Calvin L Kruger II, P.A.
-
Brittany Mead, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040419001344 | KS | Part B Supplier - Clinic/Group Practice | 1355253238 |
Receives reassigned benefits from 45 practitioners 6 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pratt, KS; Dodge City, KS |
National Provider Directory
- Part of
- Maxine a Lingurar MD
Locations
807 E 4th St
Kinsley, KS 67547
Phone (620) 659-3621
1600 E 1st St
Pratt, KS 67124
Phone (620) 770-4117
203 Watson St
Ste 300
Pratt, KS 67124
Phone (620) 672-1002
802 W Broadway St
Stafford, KS 67578
Phone (620) 234-6826
410 4th St
Alva, OK 73717
Phone (580) 327-2800
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infusion Therapy Clinic/Center | 261QI0500X | Yes | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
1600 E 1St St
Pratt, KS 67124-2070
Mailing address
200 Commodore St
Pratt, KS 67124-2903
Phone (620) 672-7451
Other names
- PRMC INFUSION AND WOUND CARE CLINIC
Other providers in Pratt, KS
- Pratt Regional Medical Center Corporation
- Pratt Regional Medical Center Corporation
- Pratt Regional Medical Center Corporation
- Pratt Regional Medical Center Corporation
- Pratt Regional Medical Center Corporation
- Pratt Regional Medical Center Corporation
- Pratt Regional Medical Center Corporation
- Pratt Usd 382
- Alan N Pribil
- Pulse Transport
All providers in Pratt, KS · Infusion Therapy Clinic/Center in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.