INDEPENDENCE FAMILY MEDICINE
NPI 1003251802
Clinic/Center - Rural Health in Independence, KS

Active since May 07, 2013CLIA 17D2058727 · Waiver
1415 N PENN AVE, INDEPENDENCE, KS 67301(620) 331-2400(620) 331-0747 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 25, 2024, Aug 18, 2016, Feb 1, 2016 (3 updates tracked since 2016).

About Independence Family Medicine NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INDEPENDENCE FAMILY MEDICINE (NPI 1003251802) is a healthcare organization registered as a rural health in Independence, Kansas and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through May 9, 2027 and lists Lori C Smith, Cfo, as its authorized official.

NPPES Registry Identity

NPI1003251802
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWILSON COUNTY HOSPITAL
Location Address1415 N PENN AVEIndependence, KS 67301-2222
Mailing AddressPo Box 360Neodesha, KS 66757-0360 · (620) 325-2611 · Fax (620) 325-8453
Fax(620) 331-0747
Organization SubpartYes
Authorized OfficialLori C SmithCfo · (620) 325-8388
Enumeration DateMay 7, 2013
Last NPPES UpdateSeptember 25, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
NPI 1003251802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
1415 N PENN AVE, Independence, KS 67301

Other Names 1

Doing Business AsIndependence Family Medicine

Other Identifiers 1

Other012213KS · Medicare Part B Ptan

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2058727

Independence Family Medicine · Independence, KS
Active · expires May 9, 2027
CLIA Number17D2058727
Laboratory TypePhysician Office
Certificate Effective DateMay 10, 2025
Certificate Expiration DateMay 9, 2027
Laboratory DirectorBradley Barrett
Laboratory Phone(620) 331-2400
Laboratory LocationIndependence Family Medicine1415 N Penn Ave, Independence, KS 67301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1415 N PENN AVE
INDEPENDENCE, KS 67301
Nurse Practitioner
1415 N PENN AVE
INDEPENDENCE, KS 67301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilson County Hospital's NPI number?

The NPI number for Wilson County Hospital is 1003251802. It was assigned to this organization in the NPPES registry on May 7, 2013. The provider is doing business as Independence Family Medicine.

Where is Wilson County Hospital located?

Wilson County Hospital is located at 1415 N Penn Ave, Independence, KS 67301. The listed phone number is (620) 331-2400.

What is Wilson County Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Wilson County Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2058727) is associated with this NPI, valid through May 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wilson County Hospital accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Wilson County Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wilson County Hospital was last updated on September 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.