NPIMap

Organization Active NPI

Greenwood County Hospital

Doing business as Basham Clinic

  • Family Medicine Physician
  • Eureka, KS
National Provider Identifier
1902891500
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GREENWOOD COUNTY HOSPITAL
Doing business as
Basham Clinic
Practice address
110 E 16TH St
Eureka, KS 67045-1067
Phone
(620) 583-7451
Fax
(620) 583-6702
NPI assigned
Sep 20, 2005
Last updated
Jun 26, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
GREENWOOD COUNTY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Mr. Edward Riley
Title
Ceo
Phone
(620) 583-7451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

110 E 16TH St
Eureka, KS 67045-1067

Mailing address

110 E 16TH St
Eureka, KS 67045-1067
Phone (620) 583-7451

Other names 1

  • BASHAM CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greenwood County Hospital8 organizations share this tax ID, including this one
Part of
Greenwood County Hospital

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1902891500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 16TH ST",
            "city": "EUREKA",
            "state": "KS",
            "postal_code": "670451067",
            "telephone_number": "620-583-7451",
            "fax_number": "620-583-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 16TH ST",
            "city": "EUREKA",
            "state": "KS",
            "postal_code": "670451067",
            "telephone_number": "620-583-7451",
            "fax_number": "620-583-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD COUNTY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENWOOD COUNTY HOSPITAL",
        "enumeration_date": "2005-09-20",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-583-7451",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BASHAM 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 Jun 26, 2012; 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.