NPIMap

Organization Active NPI

Hays Medical Center, Inc.

Doing business as Pawnee Valley Medical Associates

  • Family Medicine Physician
  • Larned, KS
National Provider Identifier
1881902633
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HAYS MEDICAL CENTER, INC.
Doing business as
Pawnee Valley Medical Associates
Practice address
713 W 11TH St
Larned, KS 67550-2055
Phone
(620) 804-6007
NPI assigned
Sep 15, 2010
Last updated
Sep 4, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
HAYS MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Authorized official

Name
Mr. Jay Moore
Title
Exectutive Director Ppa
Phone
(785) 623-2185

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X KS Primary
Rural Health Clinic/Center 261QR1300X

Addresses

Primary practice location

713 W 11TH St
Larned, KS 67550-2055

Mailing address

713 W 11TH St
Larned, KS 67550-2055

Other names 1

  • Pawnee Valley Medical Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224000687 KS Part B Supplier - Clinic/Group Practice 1557279676 Receives reassigned benefits from 224 practitioners
28 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hays, KS; Great Bend, KS; Dodge City, KS

Other NPIs on the same Medicare enrollment 28

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 28

National Provider Directory

National Provider Directory
Part of
Wakeeney Medical Group

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378252800000",
    "number": "1881902633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 W 11TH ST",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675502055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 W 11TH ST",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675502055",
            "telephone_number": "620-804-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYS MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAYS MEDICAL CENTER, INC.",
        "enumeration_date": "2010-09-15",
        "last_updated": "2013-09-04",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "EXECTUTIVE DIRECTOR PPA",
        "authorized_official_telephone_number": "785-623-2185",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pawnee Valley Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Larned, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.