Active NPI
Herington Municipal Hospital
- Certified Registered Nurse Anesthetist
- Herington, KS
National Provider Identifier
1962563023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 12282
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014053 | Other | KS | PC PTAN |
| 12282 | Other | KS | BCBS-CRNA |
| 10098980A | Medicaid | KS |
Other names 1
- Herington Municipal Hospital CRNA
National Provider Directory
National Provider DirectoryNPI 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.