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EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER NPI 1790326189


NPI Information

NPI: 1790326189
Provider Name: EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER

Doing Business As: SPEARVILLE MEDICAL CLINIC

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

Specialization: Rural Health

CLIA Number: 17D0668673

Address:
205 HALL ST
SPEARVILLE, KS
ZIP 67876
Phone: (620) 385-2963
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EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER is a rural health clinic center in Spearville, KS. EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER NPI is 1790326189. The provider is registered as an organization entity type.
The provider Is Doing Business As Spearville Medical Clinic.

The provider's business location address is:

205 HALL ST
SPEARVILLE, KS
ZIP 67876-553
Phone: (620) 385-2963
Fax: (620) 385-2811

The provider's authorized official is Jimmie Hansel .
The authorized official title is Chief Executive Officer and has the following contact phone number (620) 659-3621.

The CLIA number assigned to this NPI record is 17D0668673 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2019 and was last updated on 8/30/2022.


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
1261QR1300XClinic/CenterRural HealthYes

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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