NPIMap

Organization Active NPI

Sheridan County Hospital

Doing business as Hoxie Medical Clinic - Logan Behavioral Health

  • Clinical Social Worker
  • Oakley, KS
National Provider Identifier
1780444133
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SHERIDAN COUNTY HOSPITAL
Doing business as
Hoxie Medical Clinic - Logan Behavioral Health
Practice address
211 Cherry Ave Ste a
Oakley, KS 67748-1218
Phone
(785) 675-3018
NPI assigned
Mar 21, 2024
Last updated
Mar 21, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SHERIDAN COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Chad Koster
Title
Ceo
Phone
(785) 677-4155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

211 Cherry Ave Ste a
Oakley, KS 67748-1218

Mailing address

PO Box 415
Hoxie, KS 67740-0415
Phone (785) 675-3018

Other names 1

  • Hoxie Medical Clinic - Logan Behavioral Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050211000547 KS Part B Supplier - Clinic/Group Practice 7416842380 Receives reassigned benefits from 13 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hoxie, KS; Oakley, KS; Quinter, KS

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Tax ID family
Hoxie Dental Clinic10 organizations share this tax ID, including this one
Part of
Hoxie Dental Clinic

Other organizations with this tax ID 9

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": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1780444133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415",
            "city": "HOXIE",
            "state": "KS",
            "postal_code": "677400415",
            "telephone_number": "785-675-3018",
            "fax_number": "785-675-2306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CHERRY AVE STE A",
            "city": "OAKLEY",
            "state": "KS",
            "postal_code": "677481218",
            "telephone_number": "785-675-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIDAN COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHERIDAN COUNTY HOSPITAL",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "KOSTER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-677-4155"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hoxie Medical Clinic - Logan Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakley, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.