NPIMap

Organization Active NPI

County of Logan

Doing business as Urgent Care Clinic

  • Family Medicine Physician
  • Oakley, KS
National Provider Identifier
1902428840
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
COUNTY OF LOGAN
Doing business as
Urgent Care Clinic
Practice address
1001 Highway 40 Ste 4
Oakley, KS 67748-6061
Phone
(785) 672-1441
NPI assigned
May 14, 2020
Last updated
Jul 27, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF LOGANAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Joee Shane Meyer
Title
Cfo
Phone
(785) 672-1409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1001 Highway 40 Ste 4
Oakley, KS 67748-6061

Mailing address

1001 Highway 40 Ste 4
Oakley, KS 67748-6061

Other names 1

  • Urgent Care Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110602000276 KS Part B Supplier - Clinic/Group Practice 7719890904 Receives reassigned benefits from 31 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Oakley, KS

Other NPIs on the same Medicare enrollment 3

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

National Provider Directory

National Provider Directory
Part of
Logan County Hosp ER MD

Locations

1001 Highway 40
Ste 4
Oakley, KS 67748
Phone (785) 672-1441

1001 Highway 40
Ste 40
Oakley, KS 67748

Practitioners & affiliated clinicians

Practitioners 29

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 29

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1902428840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HIGHWAY 40 STE 4",
            "city": "OAKLEY",
            "state": "KS",
            "postal_code": "677486061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 HIGHWAY 40 STE 4",
            "city": "OAKLEY",
            "state": "KS",
            "postal_code": "677486061",
            "telephone_number": "785-672-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF LOGAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF LOGAN",
        "enumeration_date": "2020-05-14",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "JOEE",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "785-672-1409"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urgent Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Urgent Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakley, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.