1720022890 NPI number — LINDSBORG COMMUNITY HOSPITAL

Table of content: MS. ANNE COLETTE BANEY DPT (NPI 1629750278)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720022890 NPI number — LINDSBORG COMMUNITY HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LINDSBORG COMMUNITY HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720022890
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
605 W LINCOLN ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LINDSBORG
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67456-2328
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-227-3308
Provider Business Mailing Address Fax Number:
785-227-4130

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
605 W LINCOLN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LINDSBORG
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67456-2328
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-227-3308
Provider Business Practice Location Address Fax Number:
785-227-4130
Provider Enumeration Date:
06/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
GENGLER
Authorized Official First Name:
LARAINE
Authorized Official Middle Name:
I
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
785-227-3308

Provider Taxonomy Codes

  • Taxonomy code: 282NC0060X , with the licence number:  H059001 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 047943 . This is a "BCBS" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".




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