Organization Name: | PHILLIPS COUNTY HOSPITAL |
NPI Number: | 1366499717 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RHONDA KELLERMAN (CLINIC ADMINISTRATOR) |
Mailing Address: | 1719 Highway 183 Phillipsburg |
State: | KS US |
Postal Code: | 676612549 |
Phone Number: | 7855435211 |
Fax Number: | 7855435274 |
NPI Enumeration Date: | 05/30/2006 |
NPI Last Update Date: | 04/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |