Basic Information
| Provider Information | |||||||||
| NPI: | 1962156018 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HOSPITAL DISTRICT #1 OF CRAWFORD COUNTY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 302 N HOSPITAL DR | ||||||||
| Address2: | |||||||||
| City: | GIRARD | ||||||||
| State: | KS | ||||||||
| PostalCode: | 667432000 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6207248291 | ||||||||
| FaxNumber: | 6207245195 | ||||||||
| Practice Location | |||||||||
| Address1: | 401 5TH ST | ||||||||
| Address2: | |||||||||
| City: | UNIONTOWN | ||||||||
| State: | KS | ||||||||
| PostalCode: | 667798073 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6207564111 | ||||||||
| FaxNumber: | 6207564115 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/08/2022 | ||||||||
| LastUpdateDate: | 02/08/2022 | ||||||||
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| AuthorizedOfficialLastName: | DULING | ||||||||
| AuthorizedOfficialFirstName: | RUTH | ||||||||
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| AuthorizedOfficialTitleorPosition: | CEO | ||||||||
| AuthorizedOfficialTelephone: | 6207245152 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 01/27/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.