NPIMap

Organization Active NPI

Northeast Kansas Center for Health and Wellness, Inc.

  • Land Ambulance
  • Horton, KS
National Provider Identifier
1811070378
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
830 Issued in KS
Legal business name
NORTHEAST KANSAS CENTER FOR HEALTH AND WELLNESS, INC.
Practice address
240 W 18TH St
Horton, KS 66439-1245
Phone
(785) 486-2642
Fax
(785) 486-2842
NPI assigned
Oct 20, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Dale A White
Title
Ceo
Phone
(785) 486-2642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 830 KS Primary

Addresses

Primary practice location

240 W 18TH St
Horton, KS 66439-1245

Mailing address

240 W 18TH St
Horton, KS 66439-1245
Phone (785) 486-2642

Other identifiers 1

IdentifierTypeStateIssuer
119983OtherKSBLUE CROSS

National Provider Directory

National Provider Directory
Tax ID family
Northeast Kansas Center for Health and Wellness Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1811070378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W 18TH ST",
            "city": "HORTON",
            "state": "KS",
            "postal_code": "664391245",
            "telephone_number": "785-486-2642",
            "fax_number": "785-486-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W 18TH ST",
            "city": "HORTON",
            "state": "KS",
            "postal_code": "664391245",
            "telephone_number": "785-486-2642",
            "fax_number": "785-486-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST KANSAS CENTER FOR HEALTH AND WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-486-2642",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "KS",
            "license": "830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "119983",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Horton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.