Basic Information
Provider Information
NPI: 1235605080
EntityType: 2
ReplacementNPI:  
OrganizationName: HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: GIRARD MEDICAL CENTER OF ARMA
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 302 N HOSPITAL DR
Address2:  
City: GIRARD
State: KS
PostalCode: 667432000
CountryCode: US
TelephoneNumber: 6207248291
FaxNumber: 6207246332
Practice Location
Address1: 419 E WASHINGTON ST
Address2:  
City: ARMA
State: KS
PostalCode: 667124126
CountryCode: US
TelephoneNumber: 6203474711
FaxNumber: 6203474709
Other Information
ProviderEnumerationDate: 10/19/2018
LastUpdateDate: 08/01/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: DULING
AuthorizedOfficialFirstName: RUTH
AuthorizedOfficialMiddleName: A
AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 6207248291
IsSoleProprietor:  
IsOrganizationSubpart: Y
ParentOrganizationLBN: HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QR1300X  Y Ambulatory Health Care FacilitiesClinic/CenterRural Health

No ID Information.


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