Basic Information
| Provider Information | |||||||||
| NPI: | 1881327153 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SUMNER COUNTY HOSPITAL DISTRICT NO 1 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 601 S OSAGE ST | ||||||||
| Address2: | |||||||||
| City: | CALDWELL | ||||||||
| State: | KS | ||||||||
| PostalCode: | 670221654 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6208452516 | ||||||||
| FaxNumber: | 6208452518 | ||||||||
| Practice Location | |||||||||
| Address1: | 415 S OSAGE ST | ||||||||
| Address2: | |||||||||
| City: | CALDWELL | ||||||||
| State: | KS | ||||||||
| PostalCode: | 670221650 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6208452516 | ||||||||
| FaxNumber: | 6208452518 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/05/2022 | ||||||||
| LastUpdateDate: | 07/05/2022 | ||||||||
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| AuthorizedOfficialLastName: | BOLLMAN | ||||||||
| AuthorizedOfficialFirstName: | BROOKE | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 6208456492 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | SUMNER COUNTY HOSPITAL DISTRICT NO 1 | ||||||||
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| NPICertificationDate: | 07/05/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QR1300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Rural Health |
No ID Information.