NPIMap

Organization Active NPI

South Central Kansas Regional Medical Center

  • Rural Acute Care Hospital
  • Arkansas City, KS
National Provider Identifier
1740445592
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
H018001 Issued in KS
Legal business name
SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER
Practice address
6403 Patterson Pkwy
Arkansas City, KS 67005-5701
Phone
(620) 442-2500
Fax
(620) 441-5953
NPI assigned
Jul 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Authorized official

Name
Mr. Jeff Bowman
Title
Chief Executive Officer
Phone
(620) 441-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X H018001 KS Primary

Addresses

Primary practice location

6403 Patterson Pkwy
Arkansas City, KS 67005-5701

Mailing address

PO Box 1107
Arkansas City, KS 67005-1107
Phone (620) 442-2500

Other names 1

  • South Central Kansas Medical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000555 KS Part B Supplier - Clinic/Group Practice 1456245802 Receives reassigned benefits from 44 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Arkansas City, KS

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1740445592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1107",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670051107",
            "telephone_number": "620-442-2500",
            "fax_number": "620-441-5953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6403 PATTERSON PKWY",
            "city": "ARKANSAS CITY",
            "state": "KS",
            "postal_code": "670055701",
            "telephone_number": "620-442-2500",
            "fax_number": "620-441-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL KANSAS REGIONAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "620-441-5900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "KS",
            "license": "H018001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Central Kansas Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Central Kansas Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arkansas City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.