| Organization Name: | PAWNEE VALLEY COMMUNITY HOSPITAL INC |
| NPI Number: | 1912310822 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN H JETER (PRESIDENT & CEO) |
| Mailing Address: | 713 W 11th St Larned |
| State: | KS US |
| Postal Code: | 675502055 |
| Phone Number: | 6208046007 |
| Fax Number: | 6202856195 |
| NPI Enumeration Date: | 06/09/2014 |
| NPI Last Update Date: | 06/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |