Wamego Hospital Association
Organization Active NPI Family Medicine Physician · Wamego, KS
NPI 1902899339 · NPPES record last updated Jun 21, 2018
Key facts
- NPI
- 1902899339
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- H-075-002 (KS)
- Legal business name
- WAMEGO HOSPITAL ASSOCIATION
- Practice address
- 711 Genn Dr
Wamego, KS 66547 - Phone
- (785) 456-2295
- Fax
- (785) 456-9467
- NPI assigned
- Aug 31, 2005
- Organization subpart
- No
Authorized official
- Name
- Steve Land
- Title
- Administrator
- Phone
- (785) 456-2295
Other NPIs on the same Medicare enrollment 1
Member of 1
Practitioners 26
-
Jena Len Albin, PA-C
-
Danielle Nicole Bedore, PA-C
-
Danielle E Blakeslee, FNP
-
Kathryn Bruning, APRN
-
Rylee Elizabeth Coalson, PA-C
-
Vanessa Kay Cook, M.D.
-
Melinda K. Joye, PA-C
-
Stacy Kabriel, APRN
-
Ian Malburg, MD
-
Lisa Charlene Meyer, DNP, APRN, FNP-C
-
Timothy J Minges, MD
-
Gary B. Morsch, M.D.
-
Tiffany Naccarato, APRN
-
Kaylee Marie Peters, ARNP
-
John E Price II, MD
-
Erin L Schwartz, APRN
-
Erica Sergent, DNP, APRN, FNP-C
-
Katherine M. Walker, APRN
-
Myra B Wilson, PA-C
-
Taylor L Winter, PA
-
Naomi K Zwonitzer, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040621001100 | KS | Part B Supplier - Clinic/Group Practice | 5395656086 |
Receives reassigned benefits from 28 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Wamego, KS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | H-075-002 | KS | Yes |
Addresses
Primary practice location
711 Genn Dr
Wamego, KS 66547
Mailing address
711 Genn Dr
Wamego, KS 66547-1179
Phone (785) 456-2295
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100420870B | Medicaid | KS | |
| 110789 | Other | KS | BLUE CROSS |
| 100420870C | Medicaid | KS | |
| 530895 | Other | KS | PETERSEN-KS LICENSE # |
| 0430151 | Other | KS | DAREY-KS LICENSE# |
| 44166 | Other | KS | DOUGLAS-KS LICENSE# |
| 001537 | Other | KS | BLUE CROSS-RHC |
Other names
- Wamego Family Clinic & Wamego Health Center
- Wamego Family Clinic
Other providers in Wamego, KS
- Wamego Drug Store Inc
- Wamego Hospital Association
- Wamego Hospital Association
- Wamego Hospital Association
- Wamego Hospital Association
- Wamego Usd 320
- Wamego Usd 320 Special Services Cooperative of Wamego
- Michelle Warner
- Lindsey A Westberg
- Arianna D Williams
All providers in Wamego, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 21, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.