NPIMap

Organization Active NPI

Medicine Lodge Memorial Hospital

  • Certified Registered Nurse Anesthetist
  • Medicine Lodge, KS
National Provider Identifier
1831287291
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
HS004002 Issued in KS
Legal business name
MEDICINE LODGE MEMORIAL HOSPITAL
Practice address
710 N. Walnut St.
Drawer 'C'
Medicine Lodge, KS 67104-1019
Phone
(620) 886-3771
Fax
(620) 886-5012
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Ms. Ashley Taylor
Title
Administrator
Phone
(620) 886-3771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X HS004002 KS Primary

Addresses

Primary practice location

710 N. Walnut St.
Drawer 'C'
Medicine Lodge, KS 67104-1019

Mailing address

710 N. Walnut St.
Drawer 'C'
Medicine Lodge, KS 67104-1019
Phone (620) 886-3771

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address MedicineLodge.Clinic@MedicineLodge-GPHA.cernerdirect.com Direct
Direct Messaging Address MedicineLodge.Hospital@MedicineLodge-GPHA.cernerdirect.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Medicine Lodge Surgery CL6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Practitioners 1

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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1831287291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N. WALNUT ST.",
            "address_2": "DRAWER 'C'",
            "city": "MEDICINE LODGE",
            "state": "KS",
            "postal_code": "671041019",
            "telephone_number": "620-886-3771",
            "fax_number": "620-886-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N. WALNUT ST.",
            "address_2": "DRAWER 'C'",
            "city": "MEDICINE LODGE",
            "state": "KS",
            "postal_code": "671041019",
            "telephone_number": "620-886-3771",
            "fax_number": "620-886-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE LODGE MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "620-886-3771",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "HS004002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MedicineLodge.Clinic@MedicineLodge-GPHA.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Medicine Lodge Clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "710 N Walnut St",
            "city": "Medicine Lodge",
            "state": "KS",
            "country_code": "US",
            "postal_code": "671041019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MedicineLodge.Hospital@MedicineLodge-GPHA.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Medicine Lodge Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "710 N Walnut St",
            "city": "Medicine Lodge",
            "state": "KS",
            "country_code": "US",
            "postal_code": "671041019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Medicine Lodge, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.