NPIMap

Organization Active NPI

Clay County Medical Center

Doing business as Clyde Family Physicians

  • Rural Health Clinic/Center
  • Clyde, KS
National Provider Identifier
1801259783
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
CLAY COUNTY MEDICAL CENTER
Doing business as
Clyde Family Physicians
Practice address
105 N High St
Clyde, KS 66938-9428
Phone
(785) 446-2226
NPI assigned
Mar 30, 2016
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Mr. Austin M Gillard, MHA
Title
Ceo
Phone
(785) 632-2144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

105 N High St
Clyde, KS 66938-9428

Mailing address

PO Box 802827
Kansas City, MO 64180-2827
Phone (785) 632-2144

Other names 1

  • Clyde Family Physicians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20091020000184 KS Part B Supplier - Clinic/Group Practice 6901959436 Receives reassigned benefits from 53 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clyde, KS; Clay Center, KS; Riley, KS; Marysville, KS; Glasco, KS; Linn, KS
O20160719002491 KS Part A Provider - Rural Health Clinic 6901959436 Practice locations: Clyde, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801259783. Details of each certification follow.

Rural health clinic certification: CCN 178595

Legal name
CLAY COUNTY MEDICAL CENTER
Doing business as
CLYDE FAMILY PHYSICIANS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Mar 6, 1992
Last certification
Dec 27, 2010
Ownership / control type
Non-profit – church related
Most recent change of ownership
Jul 1, 2016 (1 total)
Organization structure
GovernmentNon-profit
Enrollment address
105 N High St
Clyde, KS 66938-9465
Related CCNs
171371

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 7

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

Other NPIs on the same Medicare enrollment 6

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

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
17D0705884Clyde Family Physicians105 N High Street, Clyde, KS 66938Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Clay Co Hosp 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 disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeffrey D Yarrow Individual Corporate OfficerBoard Member Secretary Jan 9, 1989
Lori J Penner Individual Corporate OfficerPresident Jan 1, 1991
Austin Gillard Individual Corporate OfficerCeo May 4, 2015
W-2 Managing EmployeeCeo May 4, 2015
Angela Kobel Individual Corporate OfficerCfo May 6, 2025
W-2 Managing EmployeeCfo May 6, 2025
Operational/Managerial ControlCfo May 6, 2025
Richard H Cott Individual Corporate OfficerBoard Member Jan 12, 2009
Clay County Medical Center Organization, Clyde, KS Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2016 100%
Operational/Managerial Control Jul 1, 2016 100%
Sandy M Fox Individual Corporate OfficerBoard Member-Treasurer Jan 1, 2001
Terri L Parry Individual Corporate OfficerVice President Jan 30, 2007

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 5

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

FacilityTypeRoleSince
Clay County Medical CenterClay Center, KS, CCN 171371 Hospital 5% Or Greater Direct Ownership Interest (5%)
Operational/Managerial Control (100%)		 Jul 1, 2016
Jul 1, 2016
Clay Center Family PhysiciansClay Center, KS, CCN 178596 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 2016
Jul 1, 2016
Linn Family PhysiciansLinn, KS, CCN 178597 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 2016
Jul 1, 2016
Riley Family PhysiciansRiley, KS, CCN 178630 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 28, 2020
Sep 28, 2020
Glasco Family PhysiciansGlasco, KS, CCN 178640 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Sep 1, 2021
Sep 1, 2021

Owned or controlled facilities with NPI records 5

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

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

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": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1801259783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 802827",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641802827",
            "telephone_number": "785-632-2144",
            "fax_number": "785-632-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N HIGH ST",
            "city": "CLYDE",
            "state": "KS",
            "postal_code": "669389428",
            "telephone_number": "785-446-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY COUNTY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "GILLARD",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-632-2144",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clyde Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clyde Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clyde, KS

Sources for this page

Verify at the official NPI Registry.