1174614820 NPI number — NESS COUNTY HOSPITAL DIST. #2

Table of content: (NPI 1174614820)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174614820 NPI number — NESS COUNTY HOSPITAL DIST. #2

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NESS COUNTY HOSPITAL DIST. #2
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:
6
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:
1174614820
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:
312 CUSTER
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NESS CITY
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67560-1654
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
785-798-2291
Provider Business Mailing Address Fax Number:
785-798-2996

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
312 CUSTER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NESS CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67560-1654
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
785-798-2291
Provider Business Practice Location Address Fax Number:
785-798-2996
Provider Enumeration Date:
09/27/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FRANK
Authorized Official First Name:
DEBRA
Authorized Official Middle Name:
DIANE
Authorized Official Title or Position:
BUSINESS MGR
Authorized Official Telephone Number:
785-798-2291

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  1410 , 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: 005796 . This is a "BCBS AMB" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".




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