NPIMap

Organization Active NPI

Northeast Kansas Center for Health and Wellness, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Horton, KS
National Provider Identifier
1912934951
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5-01550 Issued in KS
Legal business name
NORTHEAST KANSAS CENTER FOR HEALTH AND WELLNESS, INC.
Practice address
100 W 8TH St
Horton, KS 66439-1602
Phone
(785) 486-2848
Fax
(785) 486-2842
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Dale A White
Title
Ceo
Phone
(785) 486-2642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5-01550 KS Primary

Addresses

Primary practice location

100 W 8TH St
Horton, KS 66439-1602

Mailing address

240 W 18TH St
Horton, KS 66439-1245
Phone (785) 486-2642

Other identifiers 1

IdentifierTypeStateIssuer
118049OtherKSBLUE CROSS

Other names 1

  • Horton Medical Equipment Other name

National Provider Directory

National Provider Directory
Tax ID family
Northeast Kansas Center for Health and Wellness Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

100 W 8th St
Horton, KS 66439
Phone (785) 486-2848

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912934951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W 18TH ST",
            "city": "HORTON",
            "state": "KS",
            "postal_code": "664391245",
            "telephone_number": "785-486-2642",
            "fax_number": "785-486-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 8TH ST",
            "city": "HORTON",
            "state": "KS",
            "postal_code": "664391602",
            "telephone_number": "785-486-2848",
            "fax_number": "785-486-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST KANSAS CENTER FOR HEALTH AND WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "785-486-2642",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "5-01550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "118049",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horton Medical Equipment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Horton, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.