| Organization Name: | GOODLAND REGIONAL MEDICAL CENTER |
| NPI Number: | 1720390602 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BILL L. WIDENER (CEO) |
| Mailing Address: | 220 W 2nd St Goodland |
| State: | KS US |
| Postal Code: | 677351602 |
| Phone Number: | 7858903625 |
| Fax Number: | 7858906373 |
| NPI Enumeration Date: | 07/08/2010 |
| NPI Last Update Date: | 12/04/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0700X |
| License Number: | H-091-001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
| Taxonomy Definition: | |