NPIMap

Organization Active NPI

Pratt Regional Medical Center Corporation

  • Multi-Specialty Clinic/Center
  • Pratt, KS
National Provider Identifier
1821022385
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PRATT REGIONAL MEDICAL CENTER CORPORATION
Practice address
203 Watson St
Suite 300
Pratt, KS 67124-3068
Phone
(620) 672-1002
Fax
(620) 672-7268
NPI assigned
Jul 10, 2006
Organization subpart
Yes
Parent organization
PRATT REGIONAL MEDICAL CENTER CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Authorized official

Name
Tammy Smith
Title
Ceo
Phone
(620) 672-7451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

203 Watson St
Suite 300
Pratt, KS 67124-3068

Mailing address

203 Watson St
Suite 300
Pratt, KS 67124-3092
Phone (620) 672-1002

Other practice location 1

1206 W Frontview St Ste 203
Dodge City, KS 67801-2095
Phone (620) 225-7744

Other identifiers 1

IdentifierTypeStateIssuer
100317950BMedicaidKS

Other names 1

  • South Central Bone & Joint Center Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040419001344 KS Part B Supplier - Clinic/Group Practice 1355253238 Receives reassigned benefits from 45 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pratt, KS; Dodge City, KS
O20100930009117 KS DME Supplier - Multi-Specialty - Physician 1355253238 Practice locations: Pratt, KS

Other NPIs with the same Medicare PAC ID 4

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.

National Provider Directory

National Provider Directory
Part of
Maxine a Lingurar MD

Locations

1221 Larimer St
Pratt, KS 67124
Phone (620) 672-6541

Ownership & related parties

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
Pratt Regional Medical CenterPratt, KS, CCN 17U027 Hospital Operational/Managerial Control Jul 1, 2015
Pratt Regional Medical Center Home Health AgencyPratt, KS, CCN 178000 Home health agency Operational/Managerial Control Oct 22, 2014
Pratt Internal Medicine GroupPratt, KS, CCN 178583 Rural health clinic Operational/Managerial Control (100%) Jan 1, 2014

Owned or controlled facilities with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739750400000",
    "number": "1821022385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WATSON ST",
            "address_2": "SUITE 300",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671243092",
            "telephone_number": "620-672-1002",
            "fax_number": "620-672-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WATSON ST",
            "address_2": "SUITE 300",
            "city": "PRATT",
            "state": "KS",
            "postal_code": "671243068",
            "telephone_number": "620-672-1002",
            "fax_number": "620-672-7268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 W Frontview St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Dodge City",
            "state": "KS",
            "postal_code": "678012095",
            "country_code": "US",
            "telephone_number": "620-225-7744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRATT REGIONAL MEDICAL CENTER CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRATT REGIONAL MEDICAL CENTER CORPORATION",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-672-7451"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100317950B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Central Bone & Joint Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pratt, KS

Sources for this page

Verify at the official NPI Registry.