NPIMap

Organization Active NPI

Hiawatha Hospital Association, Inc.

Doing business as Amberwell Hiawatha Occupational Health Services

  • Sports Medicine (Preventive Medicine) Physician
  • Hiawatha, KS
National Provider Identifier
1730944760
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Preventive Medicine) PhysicianTaxonomy code 2083S0010X
Legal business name
HIAWATHA HOSPITAL ASSOCIATION, INC.
Doing business as
Amberwell Hiawatha Occupational Health Services
Practice address
313 Utah St
Hiawatha, KS 66434-2313
Phone
(785) 742-2131
NPI assigned
Feb 19, 2024
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Jared Abel
Title
Ceo
Phone
(785) 742-2131

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Preventive Medicine) Physician 2083S0010X NU Primary

Addresses

Primary practice location

313 Utah St
Hiawatha, KS 66434-2313

Mailing address

313 Utah St
Hiawatha, KS 66434-2313
Phone (785) 742-2131

Other names 1

  • Amberwell Hiawatha Occupational Health Services Doing business as

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
17D2276831Amberwell Hiawatha, Occupational Health Services313 Utah St, Hiawatha, KS 66434Certificate of waiverFeb 14, 2027

National Provider Directory

National Provider Directory
Tax ID family
Hiawatha Comm Hosp6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 3

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": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1730944760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 UTAH ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342313",
            "telephone_number": "785-742-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 UTAH ST",
            "city": "HIAWATHA",
            "state": "KS",
            "postal_code": "664342313",
            "telephone_number": "785-742-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIAWATHA HOSPITAL ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "ABEL",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-742-2131"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amberwell Hiawatha Occupational Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hiawatha, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.