Haskell Indian Health Center

Primary specialty

Federal Public Health Clinic/CenterTaxonomy code 261QP0904X

Legal business name

HASKELL INDIAN HEALTH CENTER

Practice address

2415 Massachusetts St
Lawrence, KS 66046-4827

Phone

(785) 832-4819

Fax

(785) 832-4887

NPI assigned

Mar 5, 2007

Organization subpart

No

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

Authorized official

Name

Shannon Lowe, PHARMD

Title

Administrative Officer

Phone

(785) 832-4821

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 14

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.

• Hannah Emily Britt, APRN

  • Family Nurse Practitioner
  • Lawrence, KS
  • NPI 1457784936

  TX

  Medicare reassignment Care Compare group
• Matt Geiger, O.D.

  • Optometrist
  • Lawrence, KS
  • NPI 1790160612

  TX

  Medicare reassignment Care Compare group
• Jeremie Gregory, FNP

  • Family Nurse Practitioner
  • Lawrence, KS
  • NPI 1194175018

  TX

  Medicare reassignment Care Compare group
• Rachel Hanna Harrington, APRN

  • Family Nurse Practitioner
  • Lawrence, KS
  • NPI 1285098863

  TX

  Medicare reassignment Care Compare group
• Andrew Benjamin Slikker, M.D.

  • Family Medicine Physician
  • Lawrence, KS
  • NPI 1255751632

  TX

  Medicare reassignment Care Compare group
• Jessica Jenae Acosta-Van Den Berg, APRN-CNP

  • Family Nurse Practitioner
  • Clinton, OK
  • NPI 1922404888

  TX

  Medicare reassignment Care Compare group
• Mark Edwin Rathgeber, M.D.

  • Psychiatry Physician
  • Oklahoma City, OK
  • NPI 1114090248

  TX

  Medicare reassignment
• Michael Edward Sabatino, MD

  • Psychiatry Physician
  • Binghamton, NY
  • NPI 1447425673

  TX

  Medicare reassignment
• Paula Foster, ARNP

  • Nurse Practitioner
  • Lawrence, KS
  • NPI 1982797932
  NPD (past)
• Carolyn M Rea, APRN

  • Family Nurse Practitioner
  • Topeka, KS
  • NPI 1275785032
  NPD (past)
• Happy Elizabeth Carmona, MD

  • Family Medicine Physician
  • Taos, NM
  • NPI 1588873749
  NPD (past)
• Michael Dudelczyk, MD

  • Psychiatry Physician
  • Santa Fe, NM
  • NPI 1942267596
  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1700915782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MASSACHUSETTS ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660464827",
            "telephone_number": "785-832-4819",
            "fax_number": "785-832-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MASSACHUSETTS ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660464827",
            "telephone_number": "785-832-4819",
            "fax_number": "785-832-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HASKELL INDIAN HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "785-832-4821",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100643210A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip Hart, D.C.
• Anika Hartley, PA-C
• Ryan David Hartman, ARNP
• Harwood Chiropractic LLC
• Haskell IHS Pharmacy
• Susan Hasselle, MS, ARNP, CNS
• Meg Hasselman
• Donald W Hatton, M.D.
• Claire Hauger
• Joram Michael Haule

• Clinic/Center in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Clinic/Center in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.