STORMONT-VAIL HEALTHCARE
NPI 1720422306
Clinic/Center - Oncology in Topeka, KS

Active since April 25, 2013CLIA 17D0983566 · Waiver
1414 SW 8TH AVE, TOPEKA, KS 66606(785) 270-4978(785) 354-5309 Get Directions Write a Review

NPPES record last updated: April 25, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Oncology
  • CLIA Number: 17D1061217
  • CLIA Cert. Type: Ancillary Testing Site in Health Care Center
  • CLIA Exp. Date: 06-23-2026

About STORMONT-VAIL HEALTHCARE

This page provides the complete NPI Profile along with additional information for Stormont-vail Healthcare, a provider established in Topeka, Kansas operating as a Clinic/center, focusing in oncology . The healthcare provider is registered in the NPI registry with number 1720422306 assigned on April 2013. The practitioner's primary taxonomy code is 261QX0200X with license number 5197 (KS). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Mr. Randall Peterson (Ceo)

NPI
1720422306 Verify this NPI
Provider Name
STORMONT-VAIL HEALTHCARE
Entity Type
Organization
Location Address
1414 SW 8TH AVE TOPEKA, KS 66606
Location Phone
(785) 270-4978
Location Fax
(785) 354-5309
Mailing Address
1414 SW 8TH AVE TOPEKA, KS 66606
Mailing Phone
(785) 270-4978
Mailing Fax
(785) 354-5309
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2013
Last Update Date
04-25-2013
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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

Clinic/Center Oncology

Taxonomy Code
261QX0200X
Type
Ambulatory Health Care Facilities
License No.
5197
License State
KS
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents.

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. RANDALL PETERSON

Authorized Official Title
CEO
Authorized Official Phone
(785) 354-6000

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
17D1061217
Facility Type
Ancillary Testing Site in Health Care Center
Certificate Effective Date
June 24, 2024
Certificate Expiration Date
June 23, 2026
Laboratory Director
DR. MARK S. SYNOVEC
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Stormont-vail Healthcare on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

Reviews for STORMONT-VAIL HEALTHCARE

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Hematology)
1414 SW 8TH AVE
TOPEKA, KS 66606
Pediatrics (Pediatric Hematology-Oncology)
1414 SW 8TH AVE
TOPEKA, KS 66606
Dietitian, Registered
1414 SW 8TH AVE
TOPEKA, KS 66606
Social Worker
1414 SW 8TH AVE
TOPEKA, KS 66606
Pharmacist
1414 SW 8TH AVE
TOPEKA, KS 66606
Pharmacist
1414 SW 8TH AVE
TOPEKA, KS 66606
Internal Medicine (Hematology & Oncology)
1414 SW 8TH AVE
TOPEKA, KS 66606
Internal Medicine (Hematology & Oncology)
1414 SW 8TH AVE
TOPEKA, KS 66606
Nurse Practitioner
1414 SW 8TH AVE
TOPEKA, KS 66606
Radiology (Radiation Oncology)
1414 SW 8TH AVE
TOPEKA, KS 66606
Nurse Practitioner
1414 SW 8TH AVE
TOPEKA, KS 66606
Nurse Practitioner
1414 SW 8TH AVE
TOPEKA, KS 66606
Internal Medicine (Hematology & Oncology)
1414 SW 8TH AVE
TOPEKA, KS 66606
Internal Medicine (Hematology & Oncology)
1414 SW 8TH AVE
TOPEKA, KS 66606
Nurse Practitioner
1414 SW 8TH AVE
TOPEKA, KS 66606
Nurse Practitioner
1414 SW 8TH AVE
TOPEKA, KS 66606
Dietitian, Registered
1414 SW 8TH AVE
TOPEKA, KS 66606
Internal Medicine (Hematology & Oncology)
1414 SW 8TH AVE
TOPEKA, KS 66606
Nurse Practitioner
1414 SW 8TH AVE
TOPEKA, KS 66606
Nurse Practitioner
1414 SW 8TH AVE
TOPEKA, KS 66606

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720422306, enumerated as an "organization" on April 25, 2013.

The provider is located at 1414 SW 8TH AVE TOPEKA, KS 66606 and the phone number is (785) 270-4978.

Clinic/Center with taxonomy code 261QX0200X and a focus in Oncology.