GEARY COUNTY HOSPITAL (GCH RURAL HEALTH CLINIC) - NPI NUMBER 1447467162

Summary

Provider Name: GEARY COUNTY HOSPITAL (GCH RURAL HEALTH CLINIC)

NPI Number: 1447467162

Clasification: Internal Medicine (207RG0300X)

Specialization: Geriatric Medicine

Address:
1106 SAINT MARYS RD
SUITE 307
JUNCTION CITY, KS
ZIP 66441

Phone Number: (785) 762-4255



Detailed Information

GEARY COUNTY HOSPITAL is a geriatric medicine internist in Junction City, KS. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. The assigned NPI number for this provider is 1447467162 and is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gch Rural Health Clinic.

The provider's business address is:

1106 SAINT MARYS RD
SUITE 307
JUNCTION CITY, KS
ZIP 66441-158
Phone: (785) 762-4255
Fax: (785) 762-2859

The provider's authorized official is David K Bradley .
The authorized official title is Ceo and has the following contact phone number (785) 238-4131.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 6/14/2012.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207RG0300X Internal Medicine Geriatric Medicine 04-19045 KS No
2 261QR1300X Clinic/Center Rural Health Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 B68651 MEDICARE UPIN KS
2 10193980A MEDICAID KS
3 002009 MEDICARE ID-TYPE UNSPECIFIED KS

NPI Record

No. Field Name Field Value
1 NPI 1447467162
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name GEARY COUNTY HOSPITAL
5 Provider Other Organization Name GCH RURAL HEALTH CLINIC
6 Provider Other Organization Name Type Code 3
7 Provider First Line Business Practice Location Address 1106 SAINT MARYS RD
8 Provider Second Line Business Practice Location Address SUITE 307
9 Provider Business Practice Location Address City Name JUNCTION CITY
10 Provider Business Practice Location Address State Name KS
11 Provider Business Practice Location Address Postal Code 664414158
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 7857624255
14 Provider Business Practice Location Address Fax Number 7857622859
15 Provider Enumeration Date 5/16/2007
16 Last Update Date 6/14/2012
17 Authorized Official Last Name BRADLEY
18 Authorized Official First Name DAVID
19 Authorized Official Middle Name K
20 Authorized Official Title or Position CEO
21 Authorized Official Telephone Number 7852384131
22 Healthcare Provider Taxonomy Code 1 207RG0300X
23 Provider License Number 1 04-19045
24 Provider License Number State Code 1 KS
25 Healthcare Provider Primary Taxonomy Switch 1 N
26 Healthcare Provider Taxonomy Code 2 261QR1300X
27 Healthcare Provider Primary Taxonomy Switch 2 Y
28 Other Provider Identifier 1 B68651
29 Other Provider Identifier Type Code 1 02
30 Other Provider Identifier State 1 KS
31 Other Provider Identifier 2 10193980A
32 Other Provider Identifier Type Code 2 05
33 Other Provider Identifier State 2 KS
34 Other Provider Identifier 3 002009
35 Other Provider Identifier Type Code 3 04
36 Other Provider Identifier State 3 KS
37 Is Organization Subpart Y
38 Parent Organization LBN GEARY COUNTY HOSPITAL
39 Parent Organization TIN
40 Healthcare Provider Taxonomy Group 1 193200000X MULTI-SPECIALTY GROUP

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.