NPIMap

Organization Active NPI

Citizens Medical Center, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Colby, KS
National Provider Identifier
1720524465
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
H097001 Issued in KS
Legal business name
CITIZENS MEDICAL CENTER, INC.
Practice address
100 E College Dr
Colby, KS 67701-3702
Phone
(785) 460-1269
Fax
(785) 460-1274
NPI assigned
Jan 18, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Authorized official

Name
Mrs. Darcy Howard
Title
Cfo
Phone
(785) 460-9322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X H097001 KS Primary

Addresses

Primary practice location

100 E College Dr
Colby, KS 67701-3702

Mailing address

100 E College Dr
Colby, KS 67701-3702
Phone (785) 462-7511

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160204002255 KS DME Supplier - HospitalDME Supplier - Oxygen & Equipment 8729996467 1 other NPI on this enrollment
Practice locations: Colby, KS

Other NPIs with the same Medicare PAC ID 5

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Citizens Medical Ctr-Crna9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Citizens Medical CenterColby, KS, CCN 171362 Hospital Operational/Managerial Control (100%) Jul 1, 1966
Citizens Medical CenterColby, KS, CCN 17Z362 Hospital Operational/Managerial Control (100%) Mar 14, 1979
Citizens Medical Center LtcuColby, KS, CCN 175554 Skilled nursing facility Operational/Managerial Control (100%) Feb 16, 2015
Family Center for HealthcareColby, KS, CCN 178508 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jul 1, 2003

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 39

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484784000000",
    "number": "1720524465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E COLLEGE DR",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013702",
            "telephone_number": "785-462-7511",
            "fax_number": "785-460-4870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E COLLEGE DR",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677013702",
            "telephone_number": "785-460-1269",
            "fax_number": "785-460-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-19",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "DARCY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "785-460-9322",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "H097001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colby, KS

Sources for this page

Verify at the official NPI Registry.