PHILLIPS COUNTY HOSPITAL NPI 1619913613

NPI Information

  • NPI: 1619913613
  • Provider Name: PHILLIPS COUNTY HOSPITAL
  • Classification: Clinic/Center - 261QR1300X
  • Specialization: Rural Health
  • Entity Type: Organization
  • Doing Business As: LOGAN MEDICAL CLINIC
  • CLIA Number: 17D0670033
  • Address: 214 W MAIN ST
    LOGAN, KS
    ZIP 67646
  • Phone: (785) 689-4220

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NPI Details

PHILLIPS COUNTY HOSPITAL is a rural health clinic center in Logan, KS. PHILLIPS COUNTY HOSPITAL NPI is 1619913613. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Logan Medical Clinic.

The provider's business location address is:

214 W MAIN ST
LOGAN, KS
ZIP 67646-764
Phone: (785) 689-4220
Fax: (785) 689-4219

The provider's authorized official is Rhonda L Kellerman .
The authorized official title is Clinic Administrator and has the following contact phone number (785) 543-5211.

The CLIA number assigned to this NPI record is 17D0670033 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2006 and was last updated on 4/23/2015.

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
1363L00000XNurse Practitioner44437KANSASNo
2208D00000XGeneral Practice0433764KANSASNo
3261QR1300XClinic/CenterRural HealthYes

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
1178501MEDICARE OSCAR/CERTIFICATIONKANSAS
2100409050CMEDICAIDKANSAS

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: 11/21/2025

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