Organization Name: | KIOWA DISTRICT HOSPITAL |
NPI Number: | 1437152766 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANELL LYN GOODNO (CFO) |
Mailing Address: | 1002 S 4th St Kiowa |
State: | KS US |
Postal Code: | 670701825 |
Phone Number: | 6208254131 |
Fax Number: | 6208254667 |
NPI Enumeration Date: | 05/31/2005 |
NPI Last Update Date: | 05/19/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC0060X |
License Number: | H-004-001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Critical Access |
Taxonomy Definition: |