KONZA PRAIRIE COMMUNITY HEALTH CENTER, INC. (NPI# 1427609809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427609809 |
| Entity Type | Organization |
| Organization Name | KONZA PRAIRIE COMMUNITY HEALTH CENTER, INC. |
| Practice Address |
900 N Eisenhower Dr Junction City KS 66441-2018 |
| Mailing Address |
361 Grant Ave Junction City KS 66441-4201 |
| Practice Telephone | 7852384711 |
| Mailing Telephone | 7852384711 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| 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 | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Konza Prairie School Based Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497201347 | Konza Prairie Community Health Center, Inc. | Clinic/Center | 2030 Tecumseh Rd, Manhattan, KS 66502-3512 | 2016-08-31 |
| 1659757037 | Konza Prairie Community Health Center, Inc. | Pharmacy | 361 Grant Ave, Junction City, KS 66441-4201 | 2015-08-07 |
| 1447247663 | Konza Prairie Community Health Center, Inc. | Clinic/Center | 361 Grant Ave, Junction City, KS 66441-4201 | 2005-10-03 |
| Street Address |
900 N EISENHOWER DR |
| City | JUNCTION CITY |
| State | KS |
| Zip Code | 66441-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316431760 | Brandon Michael Martino | Specialist/Technologist | 900 N Eisenhower Dr, Junction City, KS 66441-2018 | 2018-06-19 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447247663 | Konza Prairie Community Health Center, Inc. | Clinic/Center | 361 Grant Ave, Junction City, KS 66441-4201 | 2005-10-03 |
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|---|---|---|---|---|
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| 1730669664 | Turner House Clinic Inc | Clinic/Center | 2123 Ruby Ave, Kansas City, KS 66106 | 2018-08-20 |
| 1942718945 | Health Partnership Clinic, Inc. | Clinic/Center | 6100 Mastin St, Merriam, KS 66203-3252 | 2018-01-12 |
| 1225552342 | Flint Hills Community Health Center, Inc | Clinic/Center | 1500 Sw Boulevard, Madison, KS 66860-8054 | 2017-07-31 |
| 1609224658 | United Methodist Western Kansas Mexican-american Ministries, Inc. | Clinic/Center | 113a S Main St, Ulysses, KS 67880-2519 | 2016-06-01 |
| 1932579513 | Gracemed Health Clinic, Inc | Clinic/Center | 755 W. Lincoln St, Wichita, KS 67213 | 2015-09-25 |
| 1548636665 | First Care Clinic, Inc. | Clinic/Center | 208 Marc Wagner Dr, Victoria, KS 67671-9589 | 2015-08-12 |
| 1992113898 | Gracemed Health Clinic, Inc | Clinic/Center | 5000 S Clifton Ave Ste 200, Wichita, KS 67216-3408 | 2014-07-24 |
| 1043646870 | Gracemed Downing Children Clinic | Clinic/Center | 2201 E 25th St N, Building 200, Wichita, KS 67219-4714 | 2013-09-25 |
| 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.