Provider Type Icon

MORTON COUNTY HOSPITAL NPI 1295268928


NPI Information

NPI: 1295268928
Provider Name: MORTON COUNTY HOSPITAL

Doing Business As: ROLLA MEDICAL CLINIC

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 17D2105480

Address:
415 WASHINGTON
ROLLA, KS
ZIP 67954
Phone: (620) 593-4242
Get Directions

MORTON COUNTY HOSPITAL is an internal medicine in Rolla, KS. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MORTON COUNTY HOSPITAL NPI is 1295268928. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Rolla Medical Clinic.

The provider's business location address is:

415 WASHINGTON
ROLLA, KS
ZIP 67954-098
Phone: (620) 593-4242
Fax: (620) 593-4243

The provider's authorized official is Rodney Johnson .
The authorized official title is Clinic Manager and has the following contact phone number (620) 697-2175.

The CLIA number assigned to this NPI record is 17D2105480 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2017 and was last updated on 4/10/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant1501277KANSASNo
2363L00000XNurse Practitioner5377163KANSASNo
3207R00000XInternal Medicine0426359KANSASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1178602MEDICARE UPINKANSAS

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: 11/14/2023

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.