1538227327 NPI number — SUBLETTE HOSPITAL DIST

Table of content: (NPI 1538227327)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538227327 NPI number — SUBLETTE HOSPITAL DIST

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SUBLETTE HOSPITAL DIST
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:
1538227327
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:
PO BOX 980
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUBLETTE
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67877
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
620-675-8466
Provider Business Mailing Address Fax Number:
620-675-8496

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
101 N CODY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUBLETTE
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67877
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
620-675-8466
Provider Business Practice Location Address Fax Number:
620-675-8496
Provider Enumeration Date:
12/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BROWN
Authorized Official First Name:
DEBRA
Authorized Official Middle Name:
DIANNE
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
620-675-8466

Provider Taxonomy Codes

  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: P00307085 . This is a "RR MEDICARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 005740 . This is a "BCBS OF KS" identifier , issued by the state of ( KS ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com