WEST CENTRAL KANSAS ASSOCIATION INC NPI 1215907951

NPI Information

NPI: 1215907951
Provider Name: WEST CENTRAL KANSAS ASSOCIATION, INC

Doing Business As: RUSSELL REGIONAL HOSPITAL PHYSICIANS CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 17D1051918

Address:
222 S KANSAS ST
RUSSELL, KS
ZIP 67665
Phone: (785) 483-3131
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WEST CENTRAL KANSAS ASSOCIATION, INC is a rural health clinic center in Russell, KS. WEST CENTRAL KANSAS ASSOCIATION, INC NPI is 1215907951. The provider is registered as an organization entity type.
The provider Is Doing Business As Russell Regional Hospital Physicians Clinic.

The provider's business location address is:

222 S KANSAS ST
RUSSELL, KS
ZIP 67665-000
Phone: (785) 483-3131
Fax: (785) 483-4859

The provider's authorized official is David Caudill .
The authorized official title is Ceo and has the following contact phone number (785) 483-0708.

The CLIA number assigned to this NPI record is 17D1051918 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2006 and was last updated on 11/16/2022.

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
1	261QR1300X	Clinic/Center	Rural Health	171350A	KANSAS	Yes

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
1	100306710B	MEDICAID	KANSAS
2	110498	OTHER	KANSAS	BCBS

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: 5/5/2024

NPI Synchronization or Removal

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