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MONTGOMERY COUNTY HEALTH DEPARTMENT
NPI 1124126073
Public Health or Welfare in Coffeyville, KS

Active since September 21, 2006CLIA 17D0710952 · Waiver
908 WALNUT ST, COFFEYVILLE, KS 67337(620) 251-4210(620) 251-6708 Get Directions Write a Review

NPPES record last updated: March 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Montgomery County Health Department NPPES

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

MONTGOMERY COUNTY HEALTH DEPARTMENT (NPI 1124126073) is a healthcare organization registered as a public health or welfare in Coffeyville, Kansas and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through May 30, 2028 and lists Carolyn Marie Muller, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124126073
Entity TypeOrganization
Primary Taxonomy251K00000X
Legal Business NameCOUNTY OF MONTGOMERY
Location Address908 WALNUT STCoffeyville, KS 67337-5827
Mailing Address908 Walnut StCoffeyville, KS 67337-5827 · (620) 251-4210 · Fax (620) 251-6708
Phone(620) 251-4210
Fax(620) 251-6708
Organization SubpartNo
Authorized OfficialCarolyn Marie MullerAdministrator · (620) 251-4210
Enumeration DateSeptember 21, 2006
Last NPPES UpdateMarch 2, 2018
✔ NPI 1124126073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPublic Health or WelfareAgencies
Taxonomy Code251K00000X
908 WALNUT ST, Coffeyville, KS 67337
Open in Google Maps ↗

Other Names 1

Doing Business AsMontgomery County Health Department

Other Identifiers 3

Medicaid100297640ADE
Medicaid100297640BKS
Other47163KS · Bcbs Of Kansas

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter Health and more.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 17D0710952

Montgomery County Health Department · Coffeyville, KS
Active · expires May 30, 2028
CLIA Number17D0710952
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 31, 2026
Certificate Expiration DateMay 30, 2028
Laboratory DirectorJason Neimier
Laboratory Phone(620) 251-4210
Laboratory LocationMontgomery County Health Department604 S Union, Coffeyville, KS 67337
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
187 services184 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
177 services177 patients

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 Montgomery's NPI number?

The NPI number for County Of Montgomery is 1124126073. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Montgomery County Health Department.

Where is County Of Montgomery located?

County Of Montgomery is located at 908 Walnut St, Coffeyville, KS 67337. The listed phone number is (620) 251-4210.

What is County Of Montgomery's specialty?

The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.

Does County Of Montgomery hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D0710952) is associated with this NPI, valid through May 30, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does County Of Montgomery 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 1 other insurer list County Of Montgomery 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 County Of Montgomery was last updated on March 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.