DCCCA, INC (NPI# 1477646073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477646073 |
| Entity Type | Organization |
| Organization Name | DCCCA, INC |
| Other Organization Name | DCCCA PRATT |
| Practice Address |
501 S. Ninnescah Pratt KS 67124-2838 |
| Mailing Address |
3312 Clinton Pkwy Lawrence KS 66047-3624 |
| Practice Telephone | 6206727546 |
| Practice Fax Number | 6206727148 |
| Mailing Telephone | 7858414138 |
| Mailing Fax Number | 7858415777 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-05-28 |
| Authorized Official Name | KERYE J JACKSON (CFO) |
| Authorized Official Telephone | 7858414138 |
| Authorized Official Credential | CPA, CMA |
| Is Organization Subpart | Y |
| Parent Organization Name | DCCCA, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 200655670T | 05 |
| Other Name | Type Code |
|---|---|
| DCCCA Pratt | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558632299 | Dccca, Inc | Case Management | 3517 Lake Rd, Ponca City, OK 74604-5168 | 2012-01-25 |
| 1417280611 | Dccca, Inc | Case Management | 700 N Market St, Wichita, KS 67214-3518 | 2009-09-08 |
| 1336329911 | Dccca, Inc | Clinic/Center | 2110 Kansas Ave, Great Bend, KS 67530-2516 | 2007-11-12 |
| 1932228533 | Dccca, Inc | Clinic/Center | 1319 W May St, Suite 1319b, Wichita, KS 67213-3505 | 2007-03-28 |
| 1609994359 | Dccca, Inc | Substance Abuse Rehabilitation Facility | 1410 N Vine St, Hoisington, KS 67544-1557 | 2007-03-27 |
| 1356469209 | Dccca, Inc | Substance Abuse Rehabilitation Facility | 3015 W 31st St, Lawrence, KS 66047-3042 | 2007-03-27 |
| 1215055090 | Dccca, Inc | Clinic/Center | 501 W Central St, Columbus, KS 66725-9211 | 2007-03-27 |
| 1932227683 | Dccca, Inc | Substance Abuse Rehabilitation Facility | 2930 Sw Wanamaker Dr, Topeka, KS 66614-4116 | 2007-03-27 |
| 1861793556 | Dccca, Inc | Case Management | 1102 S Rouse St, Pittsburg, KS 66762-6048 | 2010-11-11 |
| 1053551663 | Dccca, Inc | Case Management | 121 College St, Winfield, KS 67156-2442 | 2009-02-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DCCCA, INC. | 3312 Clinton Pkwy, Lawrence, KS 66047-3624 |
| Colorado Business Entities | DCCCA, INC. | 3312 Clinton Pkwy, Lawrence, KS 66047 |
| Street Address |
501 S. NINNESCAH |
| City | PRATT |
| State | KS |
| Zip Code | 67124-2838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487270013 | Americare At Grand Plains Skilled Nursing and Rehabiltation LLC | Skilled Nursing Facility | 331 State Route 61, Pratt, KS 67124 | 2020-06-19 |
| 1275025264 | Steven M Kunz | Dentist | 501 S. Fincham, Pratt, KS 67124 | 2018-06-05 |
| 1972046266 | Hillary Sims | Developmental Therapist | 216 Curtis St., Pratt, KS 67124 | 2016-11-18 |
| 1215216122 | Kelli Gallagher | Occupational Therapist | 707 S High, Pratt, KS 67124 | 2011-08-09 |
| 1417193301 | Pratt Regional Medical Center Corp | Nurse Anesthetist, Certified Registered | 200 Commodore, Pratt, KS 67124 | 2008-12-23 |
| 1861511891 | Corey L. Neal | Specialist/Technologist | 348 Ne Sr 61, Pratt, KS 67124 | 2007-03-29 |
| 1588757454 | Dave J Johnston | Dentist | 219 S Ninnescah, Pratt, KS 67124 | 2006-10-02 |
| 1518060995 | William David Eastes | Chiropractor | 223 E 4th, Pratt, KS 67124 | 2006-09-07 |
| 1376646620 | Luis E Espinoza | Specialist | 124 Commodore St Ste B, Pratt, KS 67124 | 2006-09-05 |
| 1205809605 | John D Mathes | Dentist | 603 N Main, Pratt, KS 67124 | 2006-02-08 |
| Find all providers in zip 67124 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881173334 | Pmr, Pa | Clinic/Center | 7301 Mission Rd Ste 135, Prairie Village, KS 66208-3005 | 2018-08-07 |
| 1982000303 | Doolittle & Harrington Healthcare LLC | Clinic/Center | 10560 Barkley St Ste 340, Overland Park, KS 66212 | 2014-11-12 |
| 1871833285 | Changing Habits | Clinic/Center | 1115 S Glendale St Ste 204, Parklane Shopping Center Lower Level, Wichita, KS 67218-3232 | 2013-02-21 |
| 1952532202 | The Human Enhancement Learning Program of Servants Inc. | Clinic/Center | 400 N 6th St, Kansas City, KS 66101-3135 | 2009-08-05 |
| 1184878043 | Assessment for Direction | Clinic/Center | 2404 Se Kentucky Ave, Topeka, KS 66605-1379 | 2008-11-05 |
| 1336329911 | Dccca, Inc | Clinic/Center | 2110 Kansas Ave, Great Bend, KS 67530-2516 | 2007-11-12 |
| 1518159938 | Finney County | Clinic/Center | 601 N Main St Ste A, Garden City, KS 67846-5468 | 2007-08-10 |
| 1477754836 | Thomas County Alcohol and Drug Abuse Council, Inc. | Clinic/Center | 1523 W 4th St, Colby, KS 67701-1542 | 2007-05-31 |
| 1821113663 | Knox Center, Inc. | Clinic/Center | 2924 E Douglas Ave, Wichita, KS 67214-4709 | 2007-03-20 |
| 1114065489 | Substance Abuse Assessment Ctr | Clinic/Center | 731 N Water St, Ste 2, Wichita, KS 67203-3853 | 2007-02-01 |
| Find all providers with the same taxonomy | ||||
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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.