NPIMap

Organization Active NPI

Greenwood County Hospital

Doing business as Eureka Clinic

  • Family Medicine Physician
  • Eureka, KS
National Provider Identifier
1861695835
Registry record updated Oct 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GREENWOOD COUNTY HOSPITAL
Doing business as
Eureka Clinic
Practice address
100 West 16TH St.
Eureka, KS 67045-1047
Phone
(620) 583-5274
Fax
(620) 583-5194
NPI assigned
Jun 7, 2007
Last updated
Oct 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2015

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

Authorized official

Name
Nancy J McKenzieNPI 1891780086
Title
Ceo
Phone
(620) 583-7451

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

100 West 16TH St.
Eureka, KS 67045-1047

Mailing address

100 West 16TH St.
Eureka, KS 67045-1047
Phone (620) 583-5274

Other identifiers 1

IdentifierTypeStateIssuer
100070000GMedicaidKS

Other names 1

  • Eureka Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greenwood County HSP-Crna8 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.

Locations

100 E 16th St
Eureka, KS 67045
Phone (620) 583-7451

1602 N Elm St
Ste 2B
Eureka, KS 67045

1602 N Elm St
Ste B
Eureka, KS 67045
Phone (620) 583-5274

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1861695835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WEST 16TH ST.",
            "city": "EUREKA",
            "state": "KS",
            "postal_code": "670451047",
            "telephone_number": "620-583-5274",
            "fax_number": "620-583-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST 16TH ST.",
            "city": "EUREKA",
            "state": "KS",
            "postal_code": "670451047",
            "telephone_number": "620-583-5274",
            "fax_number": "620-583-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD COUNTY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-583-7451"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100070000G",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eureka Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eureka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.