OSAWATOMIE STATE HOSPITAL
NPI 1396748265
Psychiatric Hospital in Osawatomie, KS

NPI Status: Active since May 24, 2005

Contact Information

500 STATE HOSPITAL DRIVE
OSAWATOMIE, KS
ZIP 66064
Phone: (913) 755-7000
Fax: (913) 755-7127

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  • Organization
  • Psychiatric Hospital
  • Accepts Insurance
  • CLIA Number: 17D0448536
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 06-28-2026

About OSAWATOMIE STATE HOSPITAL

This page provides the complete NPI Profile along with additional information for Osawatomie State Hospital, a provider established in Osawatomie, Kansas operating as a Psychiatric Hospital. The healthcare provider is registered in the NPI registry with number 1396748265 assigned on May 2005. The practitioner's primary taxonomy code is 283Q00000X with license number M061101 (KS). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Osawatomie State Hospital. The authorized official of this NPI record is Mr. Jerry Rea (Superintendent)

NPI
1396748265
Provider Legal Name
STATE OF KANSAS
Other Organization Name
OSAWATOMIE STATE HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
500 STATE HOSPITAL DRIVE OSAWATOMIE, KS 66064
Location Phone
(913) 755-7000
Location Fax
(913) 755-7127
Mailing Address
500 STATE HOSPITAL DRIVE OSAWATOMIE, KS 66064
Mailing Phone
(913) 755-7000
Mailing Fax
(913) 755-7127
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2005
Last Update Date
08-22-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatric Hospital

Taxonomy Code
283Q00000X
Type
Hospitals
License No.
M061101
License State
KS
Taxonomy Description
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueCare EPO Bronze - EPO
  • BlueCare EPO Gold - EPO
  • BlueCare EPO Gold Plus - EPO
  • BlueCare EPO Silver Plus - EPO
  • BlueCare EPO Simple Bronze HDHP - EPO
  • BlueCare EPO Simple Silver HDHP - EPO
  • BlueCare EPO Standardized Expanded Bronze - EPO
  • BlueCare EPO Standardized Gold - EPO
  • BlueCare EPO Standardized Silver - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JERRY REA

Authorized Official Title
SUPERINTENDENT
Authorized Official Phone
(913) 755-7073

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
100101120BMEDICAID (05)KS 
174004MEDICARE OSCAR/CERTIFICATION (06)KS 
014099MEDICARE PIN (08)KS 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
17D0448536
Facility Type
Other
Certificate Effective Date
June 29, 2024
Certificate Expiration Date
June 28, 2026
Laboratory Director
MERMA A. GUSTILO
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Osawatomie State Hospital to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for OSAWATOMIE STATE HOSPITAL

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1396748265, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 8 → 16 → 7 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 8 + 6 + 1 + 4 + 4 + 1 + 6 + 2 + 1 + 2 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1396748265.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
500 STATE HOSPITAL DRIVE
OSAWATOMIE, KS 66064

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396748265, enumerated as an "organization" on May 24, 2005.

The provider is located at 500 STATE HOSPITAL DRIVE OSAWATOMIE, KS 66064 and the phone number is (913) 755-7000.

Psychiatric Hospital with taxonomy code 283Q00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Kansas, Inc.,. Please consult your insurance carrier or call the provider to verify.