GOODLAND REGIONAL MEDICAL CENTER (NPI# 1467594366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467594366 |
| Entity Type | Organization |
| Organization Name | GOODLAND REGIONAL MEDICAL CENTER |
| Other Organization Name | GOODLAND FAMILY HEALTH CENTER |
| Practice Address |
106 Willow Rd Goodland KS 67735 |
| Practice Telephone | 7858906075 |
| Practice Fax Number | 7858906077 |
| Mailing Telephone | 7858906075 |
| Mailing Fax Number | 7858906077 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2017-05-04 |
| Authorized Official Name | MISS JENNIE KLINGE (CCOO) |
| Authorized Official Telephone | 7858904012 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BLUE CROSS BLUE SHIELD | 111003 | 01 |
| KS | 100088450E | 05 |
| Other Name | Type Code |
|---|---|
| Goodland Family Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992164099 | Goodland Regional Medical Center | Home Health | 655 E 22nd St, Goodland, KS 67735-8982 | 2016-02-17 |
| 1720390602 | Goodland Regional Medical Center | Clinic/Center | 220 W 2nd St, Goodland, KS 67735 | 2010-07-08 |
| 1447392451 | Goodland Regional Medical Center | Clinic/Center | 220 W 2nd St, Goodland, KS 67735 | 2007-02-13 |
| 1063562379 | Goodland Regional Medical Center | Nurse Anesthetist, Certified Registered | 220 W 2nd St, Goodland, KS 67735-1602 | 2007-01-11 |
| 1831247790 | Goodland Regional Medical Center | Ambulance | 220 W 2nd St, Goodland, KS 67735-1602 | 2007-01-08 |
| 1154499812 | Goodland Regional Medical Center | Clinic/Center | 106 Willow Rd, Goodland, KS 67735-1518 | 2006-12-01 |
| 1730254673 | Goodland Regional Medical Center | Medicare Defined Swing Bed Unit | 220 W 2nd St, Goodland, KS 67735-1602 | 2006-11-22 |
| 1598839045 | Goodland Regional Medical Center | General Acute Care Hospital | 220 W 2nd St, Goodland, KS 67735 | 2006-11-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GOODLAND REGIONAL MEDICAL CENTER | 220 W 2nd St, Goodland, KS 67735-1602 |
| Street Address |
106 WILLOW RD |
| City | GOODLAND |
| State | KS |
| Zip Code | 67735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316944069 | Jackie Lynn Jorgensen | Nurse Practitioner | 106 Willow Rd, Goodland, KS 67735-1518 | 2005-07-07 |
| 1699384842 | Jessica Lynn Gittinger | Nurse Practitioner | 106 Willow Rd, Goodland, KS 67735-1518 | 2020-07-23 |
| 1982087631 | Autumn Jade Spellmeier | Nurse Practitioner | 106 Willow Rd, Goodland, KS 67735-1518 | 2015-06-30 |
| 1427453141 | Laci Leichliter | Social Worker | 106 Willow Rd, Goodland, KS 67735-1518 | 2014-10-23 |
| 1598170581 | Jonathan Spellmeier | Physician Assistant | 106 Willow Rd, Goodland, KS 67735-1518 | 2014-06-27 |
| 1023361128 | Douglas Paul Simon | Physician Assistant | 106 Willow Rd, Goodland, KS 67735-1518 | 2012-10-26 |
| 1952685471 | Kathy Mae Wiley | Nurse Practitioner | 106 Willow Rd, Goodland, KS 67735-1518 | 2011-10-03 |
| 1093026429 | Heather Licke | Family Medicine | 106 Willow Rd, Goodland, KS 67735-1518 | 2010-06-30 |
| 1679893788 | Kali Rubenthaler-brunkhardt | Family Medicine | 106 Willow Rd, Goodland, KS 67735-1518 | 2010-06-11 |
| 1154499812 | Goodland Regional Medical Center | Clinic/Center | 106 Willow Rd, Goodland, KS 67735-1518 | 2006-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922614122 | Meier Clinics of Colorado, P.C. | Clinic/Center | 902 W. Old Highway 24, Goodland, KS 67735 | 2020-09-22 |
| 1437691375 | Shelby Ann Heatwole | Specialist/Technologist, Other | 1209 Harrison Ave., Goodland, KS 67735 | 2016-11-09 |
| 1922218650 | Christina Wolf | Psychologist | 723 Main Avenue, Goodland, KS 67735 | 2007-05-23 |
| 1851511182 | Unruh Family Chiropractic Pa | Chiropractor | 1015 Main Street, Goodland, KS 67735 | 2007-04-27 |
| 1326103458 | Tracy A Winchester Hillmer | Social Worker | 723 Main, Goodland, KS 67735 | 2006-12-27 |
| 1720390602 | Goodland Regional Medical Center | Clinic/Center | 220 W 2nd St, Goodland, KS 67735 | 2010-07-08 |
| 1447392451 | Goodland Regional Medical Center | Clinic/Center | 220 W 2nd St, Goodland, KS 67735 | 2007-02-13 |
| 1598839045 | Goodland Regional Medical Center | General Acute Care Hospital | 220 W 2nd St, Goodland, KS 67735 | 2006-11-17 |
| 1982788568 | Goodland Home Health,llc | Exclusive Provider Organization | 516 E. Hwy 24, 2223 College, Goodland, KS 67735-0315 | 2006-10-24 |
| 1043391972 | Thomas Hellerud | Nurse Practitioner | 110 W 6th St, Goodland, KS 67735-0729 | 2006-10-18 |
| Find all providers in zip 67735 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093026429 | Heather Licke | Family Medicine | 106 Willow Rd, Goodland, KS 67735-1518 | 2010-06-30 |
| 1679893788 | Kali Rubenthaler-brunkhardt | Family Medicine | 106 Willow Rd, Goodland, KS 67735-1518 | 2010-06-11 |
| 1871603035 | Kenneth D Austin | Family Medicine | 110 W 6th St, Goodland, KS 67735-0729 | 2006-08-30 |
| 1770580425 | Mohedine Shafei | Family Medicine | 106 Willow Rd, Goodland, KS 67735-1518 | 2005-07-07 |
| 1184621997 | Travis M Daise | Family Medicine | 106 Willow Rd, Goodland, KS 67735-1518 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370892 | River City Osteopathic Clinic | Family Medicine | 401 E 1st St, Wichita, KS 67202-2501 | 2020-09-14 |
| 1396357166 | Spira Care, LLC | Family Medicine | 7341 W 133rd St, Overland Park, KS 66213-4750 | 2020-08-21 |
| 1902428840 | County of Logan | Family Medicine | 1001 Highway 40 Ste 4, Oakley, KS 67748-6061 | 2020-05-14 |
| 1285253492 | Lawrence Physicians LLC | Family Medicine | 3211 S Iowa St Ste 100, Lawrence, KS 66046-5205 | 2020-04-09 |
| 1164052973 | Theory Health Kansas LLC | Family Medicine | 10000 Marshall Dr, Lenexa, KS 66215-1244 | 2020-01-21 |
| 1477108603 | Laurie Irene Haury | Family Medicine | 818 N Emporia St Ste 107, Wichita, KS 67214-3725 | 2019-08-05 |
| 1477107878 | Lawrence Physicians LLC | Family Medicine | 2001 Haskell Ave Ste A, Lawrence, KS 66046-3249 | 2019-07-25 |
| 1104484773 | Lawrence Physicians LLC | Family Medicine | 1130 W 4th St Ste 1015, Lawrence, KS 66044-1328 | 2019-05-30 |
| 1265900286 | Kansas Wellness Associates LLC | Family Medicine | 4300 W 133rd Street, Suite 200, Leawood, KS 66209 | 2018-11-07 |
| 1043794373 | Rajwinder Kaur | Family Medicine | 540 E Santa Fe St Ste E, Olathe, KS 66061-3400 | 2018-09-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.