KONZA PRAIRIE COMMUNITY HEALTH CENTER, INC. (NPI# 1659757037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659757037 |
Entity Type | Organization |
Organization Name | KONZA PRAIRIE COMMUNITY HEALTH CENTER, INC. |
Practice Address |
361 Grant Ave Junction City KS 66441-4201 |
Practice Telephone | 7852384711 |
Practice Fax Number | 7852384260 |
Mailing Telephone | 7852384711 |
Mailing Fax Number | 7852384260 |
Enumeration Date | 2015-08-07 |
Last Update Date | 2017-08-02 |
Authorized Official Name | LEE WOLF (CEO) |
Authorized Official Telephone | 7852384711 |
Is Organization Subpart | Y |
Parent Organization Name | KONZA PRAIRIE COMMUNITY HEALTH CENTER, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
2-13191 | KS | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | 100212260B | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427609809 | Konza Prairie Community Health Center, Inc. | Clinic/Center | 900 N Eisenhower Dr, Junction City, KS 66441-2018 | 2019-09-26 |
1497201347 | Konza Prairie Community Health Center, Inc. | Clinic/Center | 2030 Tecumseh Rd, Manhattan, KS 66502-3512 | 2016-08-31 |
1447247663 | Konza Prairie Community Health Center, Inc. | Clinic/Center | 361 Grant Ave, Junction City, KS 66441-4201 | 2005-10-03 |
Street Address |
361 GRANT AVE |
City | JUNCTION CITY |
State | KS |
Zip Code | 66441-4201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598752743 | Shannon M Jeffrey | Nurse Practitioner | 361 Grant Ave, Junction City, KS 66441-4201 | 2005-10-03 |
1558979104 | Craig Douglas Lawless | Psychologist | 361 Grant Ave, Junction City, KS 66441-4201 | 2020-07-20 |
1174185631 | Murray Trenton Heikes | Psychologist | 361 Grant Ave, Junction City, KS 66441-4201 | 2019-07-05 |
1376010793 | Melody Anne Morse | Nurse Practitioner | 361 Grant Ave, Junction City, KS 66441-4201 | 2018-10-24 |
1588150759 | Tracy L B Sabo | Dietitian, Registered | 361 Grant Ave, Junction City, KS 66441-4201 | 2018-07-10 |
1912422080 | Kimberly Lynne Patro | Nurse Practitioner | 361 Grant Ave, Junction City, KS 66441 | 2017-08-09 |
1023530979 | Taylor James Pratt | Dentist | 361 Grant Ave, Junction City, KS 66441-4201 | 2017-07-12 |
1811438021 | Kelley Ann Herron | Nurse Practitioner | 361 Grant Ave, Junction City, KS 66441 | 2017-03-20 |
1134669955 | Shari Kay Lagrange-aulich | Psychologist | 361 Grant Ave, Junction City, KS 66441-4201 | 2017-02-27 |
1568811511 | Megan H Seidl | Family Medicine | 361 Grant Ave, Junction City, KS 66441-4201 | 2016-06-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952914129 | New Leaf Counseling | Social Worker | 929 S Washington St, Junction City, KS 66441 | 2020-08-28 |
1336669217 | Ethan Patrick Koochel | Physical Therapist | 935 E 4th St., Junction City, KS 66441 | 2017-06-22 |
1740712298 | Janet Kim Clark | Counselor | 839 N. Eisenhower Drive, Junction City, KS 66441 | 2017-04-03 |
1528507258 | Mellevore, LLC | Occupational Therapist | 935 E 4th St, Junciton City, KS 66441 | 2017-02-14 |
1407212186 | Kaila Lynne Mrozinski | Speech-Language Pathologist | 104 S Washington St., Junction City, KS 66441 | 2016-01-11 |
1235517822 | Mark Stenstrom | Veterinarian | 106 N Eisenhower Dr, Junction City, KS 66441 | 2015-05-14 |
1750777264 | Irwin Army Community Hospital | Clinic/Center | 623 Southwind Drive, Junction City, KS 66441 | 2015-04-10 |
1538504816 | Cheryl Annette Morgan | Respiratory Therapist, Certified | 1102 St. Marys Road, Junction City, KS 66441 | 2013-05-01 |
1073809604 | Donita M Ryff | Physical Therapy Assistant | 104 S. Washington Ave., Junction City, KS 66441 | 2011-06-22 |
1073834602 | Tessa Gutierrez | Counselor | 929 S Washington St., Junction City, KS 66441 | 2010-06-17 |
Find all providers in zip 66441 |
Taxonomy Code | 3336C0002X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Clinic Pharmacy |
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205489838 | Sharon Lee Family Health Care, Inc | Pharmacy | 340 Southwest Blvd, Kansas City, KS 66103-2150 | 2019-07-23 |
1114448404 | Myers Family Center Pharmacy | Pharmacy | 616 Cedar St, Cedar Vale, KS 67024-9704 | 2017-06-28 |
1437697174 | Gracemed Health Clinic, Inc | Pharmacy | 1122 N Topeka St, Wichita, KS 67214-2810 | 2017-02-02 |
1780040238 | Citizens Medical Center, Inc | Pharmacy | 100 E College Dr, Colby, KS 67701-3702 | 2016-01-13 |
1992043202 | Arthritis and Rheumatology Clinics of Kansas, LLC | Pharmacy | 1921 N Webb Rd, Wichita, KS 67206-3405 | 2013-01-21 |
1013182047 | Iola Pharmacy Inc | Pharmacy | 1408 East St, Iola, KS 66749-4402 | 2008-04-30 |
1225177140 | Jane Phillips Memorial Medical Center, Inc | Pharmacy | 800 W Laurel St, Independence, KS 67301-3211 | 2007-02-06 |
1952357691 | Kansas State University | Pharmacy | 1105 Sunset Ave, Manhattan, KS 66502-3761 | 2006-05-25 |
1972571784 | Family Prescription Shop Inc | Pharmacy | 1515 S Clifton Ave, Wichita, KS 67218-2900 | 2006-03-08 |
1679541585 | Family Prescription Shop Inc | Pharmacy | 7111 E 21st St N, Wichita, KS 67206-1090 | 2006-03-08 |
Find all providers with the same taxonomy |
City | JUNCTION CITY |
Zip Code | 66441 |
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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.