SOUTHEAST KANSAS MULTI-COUNTY HEALTH DEPT NPI 1104918762

NPI Information

  • NPI: 1104918762
  • Provider Name: SOUTHEAST KANSAS MULTI-COUNTY HEALTH DEPT
  • Classification: Public Health or Welfare - 251K00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 17D0450571
  • Address: 411 NORTH WASHINGTON AVE
    IOLA, KS
    ZIP 66749
  • Phone: (620) 365-2191

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NPI Details

SOUTHEAST KANSAS MULTI-COUNTY HEALTH DEPT is a public health or welfare in Iola, KS. SOUTHEAST KANSAS MULTI-COUNTY HEALTH DEPT NPI is 1104918762. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

411 NORTH WASHINGTON AVE
IOLA, KS
ZIP 66749-352
Phone: (620) 365-2191
Fax: (620) 365-3128

The provider's authorized official is Nicholas Joseph Lohmon .
The authorized official title is Secretary, Board Of Directors and has the following contact phone number (620) 365-2191.

The CLIA number assigned to this NPI record is 17D0450571 - community clinic with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)

The enumeration date for this NPI number is 9/29/2006 and was last updated on 5/7/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251K00000XPublic Health or WelfareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
130003916120001MEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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