| Organization Name: | FREDONIA REGIONAL HOSPITAL |
| NPI Number: | 1285634006 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBBIE L MARR (HR DIRECTOR) |
| Mailing Address: | 1527 Madison St Fredonia |
| State: | KS US |
| Postal Code: | 667361751 |
| Phone Number: | 6203782121 |
| Fax Number: | 6203783169 |
| NPI Enumeration Date: | 07/22/2005 |
| NPI Last Update Date: | 06/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | H103001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |