MINNEOLA DISTRICT HOSPITAL NBR 2 NPI 1700975729

NPI Information

NPI: 1700975729
Provider Name: MINNEOLA DISTRICT HOSPITAL NBR 2

Doing Business As: FOWLER COMMUNITY CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
404 MAIN STREET
FOWLER, KS
ZIP 67844
Phone: (620) 646-5446
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MINNEOLA DISTRICT HOSPITAL NBR 2 is a rural health clinic center in Fowler, KS. MINNEOLA DISTRICT HOSPITAL NBR 2 NPI is 1700975729. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fowler Community Clinic.

The provider's business location address is:

404 MAIN STREET
FOWLER, KS
ZIP 67844-462
Phone: (620) 646-5446
Fax: (620) 646-5708

The provider's authorized official is Deborah Bruner .
The authorized official title is Ceo and has the following contact phone number (620) 885-4264.

The CLIA number assigned to this NPI record is 17D0964323 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/11/2006 and was last updated on 8/22/2022.

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
1	207Q00000X	Family Medicine				No
2	261QR1300X	Clinic/Center	Rural Health	H013002	KANSAS	Yes

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

NPI Synchronization or Removal

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