Organization Active NPI

Colby Community College

  • Student Health Clinic/Center
  • Colby, KS
National Provider Identifier
1710107453
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
COLBY COMMUNITY COLLEGE
Practice address
1255 S Range Ave
Colby, KS 67701
Phone
(785) 460-5502
Fax
(785) 460-4691
NPI assigned
Apr 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brewster A Kellogg, DO
Title
Medical Director of Student Health
Phone
(785) 460-5502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

1255 S Range Ave
Colby, KS 67701

Mailing address

1255 So Range Ave
Colby, KS 67701
Phone (785) 460-5502

Other names 1

  • Student Health Center Other name

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0859161Colby Community College Student Health1255 South Range, Colby, KS 67701Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Locations

1255 S Range Ave
Colby, KS 67701
Phone (785) 460-5502

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710107453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 SO RANGE AVE",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "67701",
            "telephone_number": "785-460-5502",
            "fax_number": "785-460-4691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 S RANGE AVE",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "67701",
            "telephone_number": "785-460-5502",
            "fax_number": "785-460-4691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLBY COMMUNITY COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLOGG",
        "authorized_official_first_name": "BREWSTER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR OF STUDENT HEALTH",
        "authorized_official_telephone_number": "785-460-5502",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Student Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.