Organization Active NPI

County of Gray

Doing business as Gray County Health Department

  • Public Health or Welfare Agency
  • Cimarron, KS
National Provider Identifier
1710957089
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF GRAY
Doing business as
Gray County Health Department
Practice address
300 S. Main
Cimarron, KS 67835-0487
Phone
(620) 855-2424
Fax
(620) 855-7007
NPI assigned
Jan 26, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Rayna Maddox, RN
Title
Director
Phone
(620) 855-2424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X KS Primary

Addresses

Primary practice location

300 S. Main
Cimarron, KS 67835-0487

Mailing address

PO Box 487
300 S. Main
Cimarron, KS 67835-0487
Phone (620) 855-2424

Other names 1

  • Gray County Health Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151102001314 KS Part B Supplier - Mass Immunization (Roster Biller Only) 4284685736 Practice locations: Cimarron, KS

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
17D0664889Gray County Health Dept300 S Main, Cimarron, KS 67835Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Gray County HLTH Dept3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

507 W Cortez St
Montezuma, KS 67867
Phone (620) 855-7731

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": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1710957089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "address_2": "300 S. MAIN",
            "city": "CIMARRON",
            "state": "KS",
            "postal_code": "678350487",
            "telephone_number": "620-855-2424",
            "fax_number": "620-855-7007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S. MAIN",
            "city": "CIMARRON",
            "state": "KS",
            "postal_code": "678350487",
            "telephone_number": "620-855-2424",
            "fax_number": "620-855-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GRAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MADDOX",
        "authorized_official_first_name": "RAYNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "620-855-2424",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gray County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cimarron, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.