NPIMap

Organization Active NPI

Hays Medical Center, Inc.

Doing business as Hays Medical Group - DeBakey Heart Institute

  • Interventional Cardiology Physician
  • Hays, KS
National Provider Identifier
1770618258
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
HAYS MEDICAL CENTER, INC.
Doing business as
Hays Medical Group - DeBakey Heart Institute
Practice address
2220 Canterbury Dr
Hays, KS 67601-2370
Phone
(785) 625-4699
NPI assigned
Feb 23, 2007
Last updated
Jun 19, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Authorized official

Name
Mr. John B Moore
Title
Administrator, Physician Practices
Phone
(785) 623-2185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X Primary

Addresses

Primary practice location

2220 Canterbury Dr
Hays, KS 67601-2370

Mailing address

2220 Canterbury Dr
Hays, KS 67601-2370
Phone (785) 625-4699

Other names 1

  • Hays Medical Group - DeBakey Heart Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224000687 KS Part B Supplier - Clinic/Group Practice 1557279676 Receives reassigned benefits from 224 practitioners
28 other NPIs on this enrollment
Practice locations: Hays, KS; Great Bend, KS; Dodge City, KS

Other NPIs with the same Medicare PAC ID 6

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

Other NPIs on the same Medicare enrollment 28

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

View all 28

National Provider Directory

National Provider Directory
Tax ID family
Wakeeney Medical Group27 organizations share this tax ID, including this one

Other organizations with this tax ID 26

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

View all 26

Locations

2220 Canterbury Dr
Ste 302
Hays, KS 67601

Ownership & related parties

All facility ownership & control disclosures 6

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

FacilityTypeRoleSince
Hays Medical Center IncHays, KS, CCN 170013 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 7, 1991
Pawnee Valley Community HospitalLarned, KS, CCN 171345 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 1, 2010
Mar 1, 2010
Hays Medical CenterHays, KS, CCN 17T013 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1989
Pawnee Valley Community HospitalLarned, KS, CCN 17Z345 Hospital 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control		 Mar 1, 2010
Mar 1, 2010
Hospice & Palliative Care at HaysmedHays, KS, CCN 171533 Hospice 5% Or Greater Direct Ownership Interest (100%) Dec 14, 1995
Pawnee Valley Community Hospital Family MedicineLarned, KS, CCN 178581 Rural health clinic 5% Or Greater Indirect Ownership Interest (100%) Jul 1, 2014

Owned or controlled facilities with NPI records 6

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

Practitioners & affiliated clinicians

Practitioners 239

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.

View all 239

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403136000000",
    "number": "1770618258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012370",
            "telephone_number": "785-625-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 CANTERBURY DR",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012370",
            "telephone_number": "785-625-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYS MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2014-06-19",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR, PHYSICIAN PRACTICES",
        "authorized_official_telephone_number": "785-623-2185",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hays Medical Group - DeBakey Heart Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hays, KS

Sources for this page

Verify at the official NPI Registry.