1851584460 NPI number — MEADE HOSPITAL DISTRICT

Table of content: (NPI 1851584460)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851584460 NPI number — MEADE HOSPITAL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MEADE HOSPITAL DISTRICT
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:
MEADE RURAL HEALTH CLINIC
Provider Other Organization Name Type Code:
3
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:
1851584460
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/15/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 820
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MEADE
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67864-0820
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
620-873-2112
Provider Business Mailing Address Fax Number:
620-873-5371

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
119 N HART
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MEADE
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67864-0820
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
620-873-2112
Provider Business Practice Location Address Fax Number:
620-873-5371
Provider Enumeration Date:
08/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SAUCEDO
Authorized Official First Name:
STEPHANIE
Authorized Official Middle Name:
A
Authorized Official Title or Position:
CFO
Authorized Official Telephone Number:
620-873-7540

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QM1300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1154378164 . This is a "NPI" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 1649287954 . This is a "NPI" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 1497778542 . This is a "NPI" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 150 . This is a "BCBS PLAN 65" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1356358675 . This is a "NPI" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 1922014737 . This is a "NPI" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 1194853531 . This is a "NPI" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 1598810780 . This is a "NPI" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 1649428863 . This is a "NPI" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".
  • Identifier: 100066980D , issued by the state of ( KS ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1215159116 . This is a "NPI" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".




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