NPIMap

Organization Active NPI

Greenwood County Hospital

Doing business as Basham Clinic

  • Rural Health Clinic/Center
  • Eureka, KS
National Provider Identifier
1700967379
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
H037001 Issued in KS
Legal business name
GREENWOOD COUNTY HOSPITAL
Doing business as
Basham Clinic
Practice address
100 W 16TH St
Eureka, KS 67045-1064
Phone
(620) 583-7451
Fax
(620) 583-6702
NPI assigned
Oct 18, 2006
Last updated
Jun 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Mr. Edward Riley
Title
Ceo
Phone
(620) 583-7451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X H037001 KS Primary

Addresses

Primary practice location

100 W 16TH St
Eureka, KS 67045-1064

Mailing address

100 W 16TH St
Eureka, KS 67045-1064
Phone (620) 583-7451

Other identifiers 1

IdentifierTypeStateIssuer
100428860AMedicaidKS

Other names 1

  • BASHAM CLINIC Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1700967379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 16TH ST",
            "city": "EUREKA",
            "state": "KS",
            "postal_code": "670451064",
            "telephone_number": "620-583-7451",
            "fax_number": "620-583-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 16TH ST",
            "city": "EUREKA",
            "state": "KS",
            "postal_code": "670451064",
            "telephone_number": "620-583-7451",
            "fax_number": "620-583-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-583-7451",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "KS",
            "license": "H037001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100428860A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BASHAM CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eureka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.