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STANTON COUNTY FAMILY PRACTICE
NPI 1013978485
Family Medicine in Johnson, KS

Active since March 28, 2006CLIA 17D0933656 · Waiver
114 N MAIN ST, JOHNSON, KS 67855(620) 492-1400(620) 492-1608 Get Directions Write a Review

NPPES record last updated: February 18, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stanton County Family Practice NPPES

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

STANTON COUNTY FAMILY PRACTICE (NPI 1013978485) is a healthcare organization registered as a family medicine in Johnson, Kansas and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Cheryl Wilkerson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1013978485
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCOUNTY OF STANTON
Location Address114 N MAIN STJohnson, KS 67855-0639
Mailing Address114 N Main St, Box 639Johnson, KS 67855-0639 · (620) 492-1400 · Fax (620) 492-1608
Phone(620) 492-1400
Fax(620) 492-1608
Organization SubpartNo
Authorized OfficialCheryl WilkersonOffice Manager · (620) 492-1400
Enumeration DateMarch 28, 2006
Last NPPES UpdateFebruary 18, 2010
✔ NPI 1013978485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
114 N MAIN ST, Johnson, KS 67855
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Other Names 1

Other NameStanton County Family Practice

Other Identifiers 2

Other110737KS · Bc
Medicare ID-Type Unspecified110737

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 17D0933656

Stanton County Family Practice · Johnson, KS
Active · expires Sep 17, 2027
CLIA Number17D0933656
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorDouglas Johnson
Laboratory Phone(620) 492-6250
Laboratory LocationStanton County Family Practice404 North Chestnut Street, Johnson, KS 67855
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 County Of Stanton's NPI number?

The NPI number for County Of Stanton is 1013978485. It was assigned to this organization in the NPPES registry on March 28, 2006. The provider is also known as Stanton County Family Practice.

Where is County Of Stanton located?

County Of Stanton is located at 114 N Main St, Johnson, KS 67855. The listed phone number is (620) 492-1400.

What is County Of Stanton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does County Of Stanton hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0933656) is associated with this NPI, valid through September 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for County Of Stanton was last updated on February 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.