ROOKS COUNTY HEALTH CENTER
NPI 1043040637
Clinic/Center - Rural Health in Stockton, KS

Active since August 07, 2024CLIA 17D2021875 · Waiver
107 S SPRUCE ST, STOCKTON, KS 67669(785) 425-6921(785) 434-2577 Get Directions Write a Review

NPPES record last updated: April 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 23, 2026, Aug 7, 2024 (2 updates tracked since 2024).

About Rooks County Health Center NPPES

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

ROOKS COUNTY HEALTH CENTER (NPI 1043040637), doing business as Stockton Medical Clinic, is a healthcare organization registered as a rural health in Stockton, Kansas and active in the NPI registry since August 2024. The organization holds a CLIA Waiver certificate valid through March 22, 2027 and lists Joshua M Thaden, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043040637
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameROOKS COUNTY HEALTH CENTER
Location Address107 S SPRUCE STStockton, KS 67669-1200
Mailing AddressPo Box 389Plainville, KS 67663-0389 · (785) 434-4553 · Fax (785) 434-2434
Fax(785) 434-2577
Organization SubpartYes
Authorized OfficialJoshua M ThadenCeo · (785) 688-3695
Enumeration DateAugust 7, 2024
Last NPPES UpdateApril 23, 20262 updates tracked since enumeration
NPPES CertifiedApril 23, 2026
NPI 1043040637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
107 S SPRUCE ST, Stockton, KS 67669

Other Names 1

Doing Business AsStockton Medical Clinic

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 17D2021875

Rooks County Health Center Dba Stockton Medical Clinic · Stockton, KS
Active · expires Mar 22, 2027
CLIA Number17D2021875
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 23, 2025
Certificate Expiration DateMarch 22, 2027
Laboratory DirectorMichael A. Oller
Laboratory Phone(785) 425-6921
Laboratory LocationRooks County Health Center Dba Stockton Medical Clinic107 S Spruce, Stockton, KS 67669
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

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

Family Medicine
107 S SPRUCE ST
STOCKTON, KS 67669

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043040637, enumerated as an "organization" on August 07, 2024.

The provider is located at 107 S SPRUCE ST STOCKTON, KS 67669 and the phone number is (785) 425-6921.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.