NPIMap

Organization Active NPI

Community Health Center of Southeast Kansas, Inc.

  • Federally Qualified Health Center (FQHC)
  • Baxter Springs, KS
National Provider Identifier
1932414224
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.
Practice address
2990 Military Ave
Baxter Springs, KS 66713-2331
Phone
(620) 856-2900
Fax
(620) 856-2901
NPI assigned
Aug 11, 2010
Last updated
Feb 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Krista K Postai
Title
Ceo
Phone
(620) 231-9873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

2990 Military Ave
Baxter Springs, KS 66713-2331

Mailing address

PO Box 1832
Pittsburg, KS 66762-1832
Phone (620) 231-9873

Other identifiers 6

IdentifierTypeStateIssuer
17-1838OtherKSMEDICARE PART A
1932414224MedicaidMO
200099190EMedicaidOK
110931OtherKSMEDICARE PART B
100456320VMedicaidKS
1932414224OtherKSBCBS KS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040209000163 KS Part B Supplier - Clinic/Group Practice 7911816392 Receives reassigned benefits from 184 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Parsons, KS; Pleasanton, KS; Pittsburg, KS; Mound City, KS; La Cygne, KS; Iola, KS; Independence, KS; Garnett, KS…
O20110504000388 KS Part A Provider - Federally Qualified Health Center (FQHC) 7911816392 Practice locations: Baxter Springs, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932414224. Details of each certification follow.

Federally qualified health center certification: CCN 171838

Legal name
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC
Doing business as
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jun 30, 2011
Last certification
Jun 30, 2011
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Nov 20, 2011 in KS
Enrollment address
2990 Military Ave
Baxter Springs, KS 66713-2331

Other NPIs on the same Medicare enrollment 23

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

View all 23

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2163903Community Health Center of Southeast Kansas, Inc2990 Military Ave, Baxter Springs, KS 66713Certificate of waiverMar 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Community Health Center Inc43 organizations share this tax ID, including this one

Other organizations with this tax ID 42

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

View all 42

Locations

801 W 8th St
Coffeyville, KS 67337
Phone (620) 251-4300

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Janie Henderson Individual Contracted Managing Employee Nov 1, 2015
Krista Kay Postai Individual Corporate DirectorCeo Nov 4, 2004 100%
Operational/Managerial ControlCeo Nov 4, 2004 100%
David Shepherd Individual Contracted Managing Employee Apr 18, 2019
Judy a. Westhoff Individual Contracted Managing Employee Nov 1, 2002
Daniel McCullough Individual Contracted Managing Employee Jul 1, 2019
Brian Jones Individual Contracted Managing Employee Nov 1, 2007
Dawn Flores Individual Contracted Managing Employee Nov 1, 2005
John Wyrick Individual Contracted Managing Employee Nov 1, 2016
Rosaura Lopez Individual Contracted Managing Employee Nov 1, 2015
Patrick O'Bryan Individual Contracted Managing Employee Nov 1, 2017

All facility ownership & control disclosures 19

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Community Health Center of Southeast Kansas IncCoffeyville, KS, CCN 171840 Federally qualified health center Operational/Managerial Control (100%) Nov 15, 2011
Community Health Center of Southeast Kansas/CoffeyvilleCoffeyville, KS, CCN 171842 Federally qualified health center Operational/Managerial Control (100%) Jan 2, 2012
Community Health Center of Southeast Kansas/IolaIola, KS, CCN 171846 Federally qualified health center Operational/Managerial Control (100%) Dec 1, 2008
CHC/Sek's Field Kindley Student Health CenterCoffeyville, KS, CCN 171849 Federally qualified health center Operational/Managerial Control Oct 15, 2013
Community Health Center of Southeast Kansas IncIndependence, KS, CCN 171850 Federally qualified health center Operational/Managerial Control (100%) Jun 2, 2014
Community Health Center of Southeast Kansas/ParsonsParsons, KS, CCN 171861 Federally qualified health center Operational/Managerial Control (100%) Aug 31, 2015
Community Health Center of Southeast Kansas/PleasantonPleasanton, KS, CCN 171885 Federally qualified health center Operational/Managerial Control (100%) Dec 31, 2018
CHC/Sek Arma ClinicArma, KS, CCN 171886 Federally qualified health center Operational/Managerial Control (100%) Dec 31, 2018
Community Health Center of Southeast Kansas Inc/Fort Scott Main ClinicFort Scott, KS, CCN 171887 Federally qualified health center Operational/Managerial Control (100%) Dec 31, 2018
Community Health Center of Southeast Kansas/Mound CityMound City, KS, CCN 171889 Federally qualified health center Operational/Managerial Control (100%) Dec 31, 2018
CHC/Ok Miami ClinicMiami, OK, CCN 371945 Federally qualified health center Operational/Managerial Control Nov 20, 2019
Community Health Center of Southeast Kansas IncPittsburg, KS, CCN 171891 Federally qualified health center Operational/Managerial Control Oct 17, 2018
CHC/Sek South PittsburgPittsburg, KS, CCN 171895 Federally qualified health center Operational/Managerial Control Apr 17, 2020
Community Health Center of Southeast Kansas IncLa Cygne, KS, CCN 171905 Federally qualified health center Operational/Managerial Control (100%) Sep 24, 2021
Community Health Center of Southeast Kansas IncColumbus, KS, CCN 171017 Federally qualified health center Operational/Managerial Control (100%) Nov 7, 2022
Community Health Center of Southeast Kansas IncBaxter Springs, KS, CCN 171018 Federally qualified health center Operational/Managerial Control (100%) Feb 1, 2023
Community Health Center of Southeast Kansas IncIola, KS, CCN 171019 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2023
Community Health Center of Southeast Kansas IncPittsburg, KS, CCN 171024 Federally qualified health center Operational/Managerial Control Aug 1, 2023
Community Health Center of Southeast Kansas IncHumboldt, KS, CCN 171026 Federally qualified health center Operational/Managerial Control Apr 1, 2024

Practitioners & affiliated clinicians

Practitioners 13

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 13

NPI Registry JSON

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

{
    "created_epoch": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1932414224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1832",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667621832",
            "telephone_number": "620-231-9873",
            "fax_number": "620-231-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 MILITARY AVE",
            "city": "BAXTER SPRINGS",
            "state": "KS",
            "postal_code": "667132331",
            "telephone_number": "620-856-2900",
            "fax_number": "620-856-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "POSTAI",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "620-231-9873"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "17-1838",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932414224",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200099190E",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART B",
            "identifier": "110931",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100456320V",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS KS",
            "identifier": "1932414224",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baxter Springs, KS

Sources for this page

Verify at the official NPI Registry.