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NEODESHA FAMILY MEDICINE
NPI 1639699309
Clinic/Center - Rural Health in Neodesha, KS

Active since June 23, 2017CLIA 17D0450579 · Waiver
2600 OTTAWA RD STE 101, NEODESHA, KS 66757(620) 325-2622(620) 325-5380 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 25, 2024, Mar 28, 2018, Jun 23, 2017 (3 updates tracked since 2017).

About Neodesha Family Medicine NPPES

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

NEODESHA FAMILY MEDICINE (NPI 1639699309) is a healthcare organization registered as a rural health in Neodesha, Kansas and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Lori C Smith, Cfo, as its authorized official.

NPPES Registry Identity

NPI1639699309
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameWILSON COUNTY HOSPITAL
Location Address2600 OTTAWA RD STE 101Neodesha, KS 66757-1897
Mailing AddressPo Box 360Neodesha, KS 66757-0360 · (620) 325-2611 · Fax (620) 325-8453
Phone(620) 325-2622
Fax(620) 325-5380
Organization SubpartNo
Authorized OfficialLori C SmithCfo · (620) 325-8388
Enumeration DateJune 23, 2017
Last NPPES UpdateSeptember 25, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 25, 2024
✔ NPI 1639699309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in KS · H103002
2600 OTTAWA RD STE 101, Neodesha, KS 66757
Open in Google Maps ↗

Other Names 1

Doing Business AsNeodesha Family Medicine

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 17D0450579

Wilson County Hospital Dba Neodesha Family Medicine · Neodesha, KS
Active · expires Aug 31, 2026
CLIA Number17D0450579
Laboratory TypeRural Health Clinic
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBradley Barrett
Laboratory Phone(620) 325-2622
Laboratory LocationWilson County Hospital Dba Neodesha Family Medicine2600 Ottawa Road, Neodesha, KS 66757
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 4

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

BRADLEY HUNTER BARRETT M.D.
Family Medicine
2600 OTTAWA RD STE 101
NEODESHA, KS 66757
Wilson County (620) 325-2622
DR. BERT CHRONISTER M.D.
Family Medicine
2600 OTTAWA RD STE 101
NEODESHA, KS 66757
Wilson County (620) 325-2622
MIRANDA S MCKELLAR MD
Family Medicine
2600 OTTAWA RD STE 101
NEODESHA, KS 66757
Wilson County (620) 325-2622
TONI ALECIA ADAMS NP-C
Nurse Practitioner (Family)
2600 OTTAWA RD STE 101
NEODESHA, KS 66757
Wilson County (620) 325-2611

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 1639699309. It was assigned to this organization in the NPPES registry on June 23, 2017. The provider is doing business as Neodesha Family Medicine.

Where is Wilson County Hospital located?

Wilson County Hospital is located at 2600 Ottawa Rd Ste 101, Neodesha, KS 66757. The listed phone number is (620) 325-2622.

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 17D0450579) is associated with this NPI, valid through August 31, 2026. 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.