NPIMap

Organization Active NPI

County of Greenwood

  • Public Health or Welfare Agency
  • Eureka, KS
National Provider Identifier
1831243856
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF GREENWOOD
Practice address
200 W 1St St
Eureka, KS 67045-1504
Phone
(620) 583-6632
Fax
(620) 583-7709
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Mary Hancock
Title
Office Manager
Phone
(620) 583-6632

Specialties & licenses 1

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

Addresses

Primary practice location

200 W 1St St
Eureka, KS 67045-1504

Mailing address

200 W 1St St
Eureka, KS 67045-1504
Phone (620) 583-6632

Other identifiers 2

IdentifierTypeStateIssuer
119964OtherKSBCBS OF KS
100092140AMedicaidKS

Other names 1

  • Greenwood County Health Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150209001695 KS Part B Supplier - Mass Immunization (Roster Biller Only) 4486654415 Practice locations: Eureka, 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
17D0955326Greenwood County Health Dept200 West 1St Street, Eureka, KS 67045Certificate of waiverDec 23, 2026

National Provider Directory

National Provider Directory
Tax ID family
County of Greenwood2 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.

Member organizations 5

Organizations listed as members of this organization in the National Provider Directory.

Locations

200 W 1st St
Eureka, KS 67045
Phone (620) 583-6632

400 S Jefferson St
Eureka, KS 67045
Phone (316) 689-3551

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
Greenwood County HospitalEureka, KS, CCN 171339 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 19, 2014
Greenwood County HospitalEureka, KS, CCN 17Z339 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 19, 2014
Eureka ClinicEureka, KS, CCN 178544 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2007
Howard ClinicHoward, KS, CCN 178542 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2007

Owned or controlled facilities with NPI records 4

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

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1831243856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 1ST ST",
            "city": "EUREKA",
            "state": "KS",
            "postal_code": "670451504",
            "telephone_number": "620-583-6632",
            "fax_number": "620-583-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 1ST ST",
            "city": "EUREKA",
            "state": "KS",
            "postal_code": "670451504",
            "telephone_number": "620-583-6632",
            "fax_number": "620-583-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GREENWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "620-583-6632"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "119964",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100092140A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwood County Health Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eureka, KS

Sources for this page

Verify at the official NPI Registry.