NPIMap

Organization Active NPI

Iroquois Center for Human Development, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greensburg, KS
National Provider Identifier
1922001981
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
IROQUOIS CENTER FOR HUMAN DEVELOPMENT, INC.
Practice address
610 E Grant Ave
Greensburg, KS 67054-2708
Phone
(620) 723-2272
Fax
(620) 723-3450
NPI assigned
May 24, 2005
Last updated
Aug 22, 2020By the provider in NPPES
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. Charles Sheldon Carpenter, LMLP, LCPNPI 1265534101
Title
Executive Director
Phone
(620) 723-2272

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

610 E Grant Ave
Greensburg, KS 67054-2708

Mailing address

610 E Grant Ave
Greensburg, KS 67054-2708
Phone (620) 723-2272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040915000321 KS Part B Supplier - Clinic/Group Practice 2062314081 Receives reassigned benefits from 14 practitioners
Practice locations: Greensburg, KS

National Provider Directory

National Provider Directory
Tax ID family
Iroquois Center for Human Development Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

610 E Grant Ave
Greensburg, KS 67054
Phone (620) 723-2272

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922001981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E GRANT AVE",
            "city": "GREENSBURG",
            "state": "KS",
            "postal_code": "670542708",
            "telephone_number": "620-723-2272",
            "fax_number": "620-723-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E GRANT AVE",
            "city": "GREENSBURG",
            "state": "KS",
            "postal_code": "670542708",
            "telephone_number": "620-723-2272",
            "fax_number": "620-723-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IROQUOIS CENTER FOR HUMAN DEVELOPMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "SHELDON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "620-723-2272",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMLP, LCP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, 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.
  • 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.