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KEARNY COUNTY HOSPITAL NPI 1114282563


NPI Information

NPI: 1114282563
Provider Name: KEARNY COUNTY HOSPITAL

Doing Business As: FAMILY HEALTH CENTER

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 17D0978265

Address:
521 MAIN STREET
DEERFIELD, KS
ZIP 67838
Phone: (620) 426-2990
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KEARNY COUNTY HOSPITAL is a health service clinic center in Deerfield, KS. KEARNY COUNTY HOSPITAL NPI is 1114282563. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Health Center.

The provider's business location address is:

521 MAIN STREET
DEERFIELD, KS
ZIP 67838-361
Phone: (620) 426-2990
Fax: (620) 426-2991

The provider's authorized official is David Hofmeister .
The authorized official title is ADMINISTRATOR CEOCeo and has the following contact phone number (620) 355-7111.

The CLIA number assigned to this NPI record is 17D0978265 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2012 and was last updated on 4/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1261QH0100XClinic/CenterHealth ServiceYes
2261QR1300XClinic/CenterRural HealthH-047-001KANSASNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100021960NMEDICAIDKANSAS
2100021960AMEDICAIDKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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