Organization Active NPI

Herington Municipal Hospital

  • Certified Registered Nurse Anesthetist
  • Herington, KS
National Provider Identifier
1962563023
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
12282 Issued in KS
Legal business name
HERINGTON MUNICIPAL HOSPITAL
Practice address
100 E Helen Street
Herington, KS 67449-1697
Phone
(785) 258-2207
Fax
(785) 258-3535
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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

Authorized official

Name
Michael Ryan
Title
Chief Executive Officer
Phone
(785) 258-2207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 12282 KS Primary

Addresses

Primary practice location

100 E Helen Street
Herington, KS 67449-1697

Mailing address

100 E Helen Street
Herington, KS 67449-1697
Phone (785) 258-2207

Other identifiers 3

IdentifierTypeStateIssuer
014053OtherKSPC PTAN
12282OtherKSBCBS-CRNA
10098980AMedicaidKS

Other names 1

  • Herington Municipal Hospital CRNA Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577750400000",
    "number": "1962563023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E HELEN STREET",
            "city": "HERINGTON",
            "state": "KS",
            "postal_code": "674491697",
            "telephone_number": "785-258-2207",
            "fax_number": "785-258-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E HELEN STREET",
            "city": "HERINGTON",
            "state": "KS",
            "postal_code": "674491697",
            "telephone_number": "785-258-2207",
            "fax_number": "785-258-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERINGTON MUNICIPAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "785-258-2207"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "12282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PC PTAN",
            "identifier": "014053",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-CRNA",
            "identifier": "12282",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10098980A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herington Municipal Hospital CRNA",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Herington Municipal Hospital CRNA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Herington, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2019; 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.