IROQUOIS CENTER FOR HUMAN DEVELOPMENT, INC. (NPI# 1710095435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710095435 |
| Entity Type | Organization |
| Organization Name | IROQUOIS CENTER FOR HUMAN DEVELOPMENT, INC. |
| Practice Address |
610 E Grant Ave Greensburg KS 67054-2708 |
| Practice Telephone | 6207232272 |
| Practice Fax Number | 6207232272 |
| Mailing Telephone | 6207232272 |
| Mailing Fax Number | 6207232272 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHARLES SHELDON CARPENTER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6207232272 |
| Authorized Official Credential | LMLP, LCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 10098110B | 05 | |
| KS | 100098110A | 05 | |
| KS | BCBS | 6916 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001981 | Iroquois Center for Human Development, Inc. | Clinic/Center | 610 E Grant Ave, Greensburg, KS 67054-2708 | 2005-05-24 |
| Street Address |
610 E GRANT AVE |
| City | GREENSBURG |
| State | KS |
| Zip Code | 67054-2708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922001981 | Iroquois Center for Human Development, Inc. | Clinic/Center | 610 E Grant Ave, Greensburg, KS 67054-2708 | 2005-05-24 |
| 1932650660 | James Ryckert | Social Worker | 610 E Grant Ave, Greensburg, KS 67054-2708 | 2016-10-18 |
| 1457737322 | Jennifer L Williams | Social Worker | 610 E Grant Ave, Greensburg, KS 67054-2708 | 2015-08-03 |
| 1740543651 | Kaila Sue Anderson | Social Worker | 610 E Grant Ave, Greensburg, KS 67054-2708 | 2012-06-18 |
| 1740588953 | Stephanie J Salisbury | Social Worker | 610 E Grant Ave, Greensburg, KS 67054-2708 | 2011-03-11 |
| 1912132424 | Denae Hope Sherman | Social Worker | 610 E Grant Ave, Greensburg, KS 67054-2708 | 2009-05-28 |
| 1124207626 | Terah L Thompson | Social Worker | 610 E Grant Ave, Greensburg, KS 67054-2708 | 2007-10-31 |
| 1285850214 | Michael J Denton | Social Worker | 610 E Grant Ave, Greensburg, KS 67054-2708 | 2007-04-18 |
| 1700904786 | Travis Keith Hamrick | Psychologist | 610 E Grant Ave, Greensburg, KS 67054-2708 | 2007-03-27 |
| 1265534101 | Charles Sheldon Carpenter | Psychologist | 610 E Grant Ave, Greensburg, KS 67054-2708 | 2006-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780653436 | Nancy L Kisner | Physician Assistant | 502 Walnut St, Greensburg, KS 67054 | 2006-03-15 |
| 1487937983 | Kiowa County Pharmacy LLC | Pharmacy | 721 W Kansas Ave Ste 101, Greensburg, KS 67054-1633 | 2011-09-21 |
| 1124096300 | Nizar D Kibar | Emergency Medicine | 721 W Kansas Ave, Greensburg, KS 67054-1633 | 2006-03-14 |
| 1538776299 | Kiowa County Memorial Hospital | General Acute Care Hospital | 721 W Kansas Ave, Greensburg, KS 67054-1633 | 2020-09-28 |
| 1992312664 | Kiowa County Memorial Hospital | Clinic/Center | 721 W Kansas Ave, Greensburg, KS 67054-1633 | 2020-09-28 |
| 1407257512 | Julie Keeton | Pharmacist | 721 W Kansas Ave Ste 101, Greensburg, KS 67054-1633 | 2014-09-08 |
| 1831431030 | Great Plains of Kiowa Co Inc | General Practice | 721 W Kansas Ave, Greensburg, KS 67054-1633 | 2013-03-26 |
| 1295073344 | Laura E Ballard | Nurse Practitioner | 721 W Kansas Ave, Greensburg, KS 67054-1633 | 2013-01-24 |
| 1780935619 | Halstead Dental Clinic- Greensburg | Dentist | 721 W Kansas Ave, Greensburg, KS 67054-1633 | 2012-10-02 |
| 1386896090 | Kelsey Renee Hott | Physician Assistant | 721 W Kansas Ave, Greensburg, KS 67054-1633 | 2008-10-14 |
| Find all providers in zip 67054 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063530913 | Pressley Ridge | Residential Treatment Facility, Emotionally Disturbed Children | 1001 Georges Station Rd, Greensburg, PA 15601-9343 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962789214 | Freedom House Ministries | Residential Treatment Facility, Emotionally Disturbed Children | 7044 Antioch Rd, Merriam, KS 66204-1246 | 2011-11-14 |
| 1104042290 | Kelley Detention Services of Wakeeney, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 675 South 13th Street, Wakeeney, KS 67672 | 2007-04-17 |
| 1669698759 | Clarence M. Kelley Detention Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 6700 Southwest Topeka Boulevard, Building 379, Forbes Field, Topeka, KS 66214 | 2007-04-17 |
| 1457576381 | Clarence M. Kelley Detention Services of Topeka, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 2620 Se 23rd St, Topeka, KS 66605-1747 | 2007-04-16 |
| 1548316615 | The Salvation Army | Residential Treatment Facility, Emotionally Disturbed Children | 350 N Market St, Wichita, KS 67202-2010 | 2007-01-25 |
| 1750361119 | Marillac Center, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 8000 W 127th St, Overland Park, KS 66213-2714 | 2006-01-20 |
| 1932441177 | Riverside Academy | Residential Treatment Facility, Emotionally Disturbed Children | 2050 W 11th St N, Wichita, KS 67203-3006 | 2013-03-26 |
| 1871778217 | Richard Alspaw | Residential Treatment Facility, Emotionally Disturbed Children | 24401 W Macarthur Rd, Goddard, KS 67052-8713 | 2008-01-03 |
| 1184764151 | Kvc Hospitals Inc | Residential Treatment Facility, Emotionally Disturbed Children | 4300 Brenner Dr, Kansas City, KS 66104-1163 | 2007-02-07 |
| 1235210196 | Area Mental Health Center | Residential Treatment Facility, Emotionally Disturbed Children | 1111 E Spruce St, Garden City, KS 67846-5958 | 2006-10-18 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBURG |
| Zip Code | 67054 |
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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.