NPIMap

Organization Active NPI

County of Morton

  • Public Health or Welfare Agency
  • Elkhart, KS
National Provider Identifier
1811074123
Registry record updated Jun 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF MORTON
Practice address
625 Colorado Street
Elkhart, KS 67950-0973
Phone
(620) 697-2612
Fax
(620) 697-2790
NPI assigned
Nov 1, 2006
Last updated
Jun 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2013

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

Authorized official

Name
Mrs. Rhianna S Shaw, RN
Title
Administrator
Phone
(620) 697-2612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X KS Primary

Addresses

Primary practice location

625 Colorado Street
Elkhart, KS 67950-0973

Mailing address

625 Colorado Street
Elkhart, KS 67950-0973
Phone (620) 697-2612

Other identifiers 1

IdentifierTypeStateIssuer
12789OtherKSBLUE CROSS & BLUE SHILED

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130913000729 KS Part B Supplier - Mass Immunization (Roster Biller Only) 3577510650 Practice locations: Elkhart, KS

Other NPIs with the same Medicare PAC ID 1

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

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
17D0664230Morton County Health Department625 Colorado Street, Elkhart, KS 67950Certificate of waiverJan 3, 2028

National Provider Directory

National Provider Directory
Tax ID family
County of Morton2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All facility ownership & control disclosures 4

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

FacilityTypeRoleSince
Morton County HospitalElkhart, KS, CCN 171386 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 16, 1968
Morton County EMSElkhart, KS, CCN 17Z386 Hospital 5% Or Greater Direct Ownership Interest (100%) Oct 16, 1968
Morton County EMSElkhart, KS, CCN 17M386 Hospital Other Jan 1, 1966
Rolla Medical ClinicRolla, KS, CCN 178602 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Oct 16, 1968

Owned or controlled facilities with NPI records 4

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

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371427200000",
    "number": "1811074123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 COLORADO STREET",
            "city": "ELKHART",
            "state": "KS",
            "postal_code": "679500973",
            "telephone_number": "620-697-2612",
            "fax_number": "620-697-2790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 COLORADO STREET",
            "city": "ELKHART",
            "state": "KS",
            "postal_code": "679500973",
            "telephone_number": "620-697-2612",
            "fax_number": "620-697-2790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MORTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-06-17",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "RHIANNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "620-697-2612",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHILED",
            "identifier": "12789",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, KS

Sources for this page

Verify at the official NPI Registry.