KONZA PRAIRIE COMMUNITY HEALTH CENTER, INC. (NPI# 1497201347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497201347 |
| Entity Type | Organization |
| Organization Name | KONZA PRAIRIE COMMUNITY HEALTH CENTER, INC. |
| Practice Address |
2030 Tecumseh Rd Manhattan KS 66502-3512 |
| Mailing Address |
361 Grant Ave Junction City KS 66441-4201 |
| Practice Telephone | 7853207134 |
| Practice Fax Number | 7852384260 |
| Mailing Telephone | (785) 238-4711 |
| Mailing Fax Number | 7852384260 |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2017-08-02 |
| Authorized Official Name | LEE J. 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE PROVIDER NUMBER | 171853 | 01 |
| 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 |
| 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 |
2030 TECUMSEH RD |
| City | MANHATTAN |
| State | KS |
| Zip Code | 66502-3512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003812736 | County of Riley | Public Health or Welfare | 2030 Tecumseh Rd, Manhattan, KS 66502-3512 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184232217 | Rebecca Anne Cherry | Marriage & Family Therapist | 1506 Browning Avenue, Suite 107, Manhattan, KS 66502 | 2020-07-15 |
| 1992334361 | Lorin C Kelly | Counselor | 201 South 4th Street, Suite C5, Manhattan, KS 66502 | 2020-04-07 |
| 1306487947 | Emily Trausch | Specialist/Technologist | 18 Ahearn Fieldhouse, Manhattan, KS 66502 | 2019-10-04 |
| 1730741018 | Jessica Caroline Kostroske | Speech-Language Pathologist | 2031 Poyntz Avenue, Manhattan, KS 66502 | 2019-07-08 |
| 1962968420 | Sarah C Siders | Social Worker | 1506 Browning Avenue #107, Manhattan, KS 66502 | 2019-02-20 |
| 1215408331 | Sara E Gotchey | Registered Nurse | 2100 Claflin Rd, Manhattan, KS 66502 | 2018-12-16 |
| 1306315601 | Gail Elizabeth Webster | Midwife, Lay | 2106 Timber Creek Dr, Manhattan, KS 66502 | 2018-11-15 |
| 1972021525 | Patience Ivy | Student in an Organized Health Care Education/Training Program | 1615 Denison Ave, Apt 211, Manhattan, KS 66502 | 2017-09-05 |
| 1578086252 | Alexa Jean Sharr | Physician Assistant | 1404 Beechwood Ter Ste C and D, Manhattan, KS 66502 | 2017-07-25 |
| 1790226702 | Mackenzie Getz | Student in an Organized Health Care Education/Training Program | 2465 Vaughn Dr, Manhattan, KS 66502 | 2017-03-10 |
| Find all providers in zip 66502 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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 |
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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.