NPIMap

Organization Active NPI

Wamego Hospital Association

Doing business as Wamego Family Clinic & Wamego Health Center

  • Family Medicine Physician
  • Wamego, KS
National Provider Identifier
1902899339
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
H-075-002 Issued in KS
Legal business name
WAMEGO HOSPITAL ASSOCIATION
Doing business as
Wamego Family Clinic & Wamego Health Center
Practice address
711 Genn Dr
Wamego, KS 66547
Phone
(785) 456-2295
Fax
(785) 456-9467
NPI assigned
Aug 31, 2005
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Steve LandNPI 1508991787
Title
Administrator
Phone
(785) 456-2295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X H-075-002 KS Primary

Addresses

Primary practice location

711 Genn Dr
Wamego, KS 66547

Mailing address

711 Genn Dr
Wamego, KS 66547-1179
Phone (785) 456-2295

Other names 2

  • Wamego Family Clinic & Wamego Health Center Doing business as
  • Wamego Family Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1902899339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 GENN DR",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "665471179",
            "telephone_number": "785-456-2295",
            "fax_number": "785-456-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 GENN DR",
            "city": "WAMEGO",
            "state": "KS",
            "postal_code": "66547",
            "telephone_number": "785-456-2295",
            "fax_number": "785-456-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAMEGO HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "LAND",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "785-456-2295"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "H-075-002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wamego Family Clinic & Wamego Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wamego Family Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wamego, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.