Healthcare Provider Details

I. General information

NPI: 1992759633
Provider Name (Legal Business Name): HOSPITAL DISTRICT NO. 1 OF DICKINSON COUNTY, KANSAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2006
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 NE 10TH ST
ABILENE KS
67410-2153
US

IV. Provider business mailing address

511 NE 10TH ST
ABILENE KS
67410-2153
US

V. Phone/Fax

Practice location:
  • Phone: 785-263-2100
  • Fax: 785-263-6677
Mailing address:
  • Phone: 785-263-2100
  • Fax: 785-263-6677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 8
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberH 021 001
License Number StateKS

VIII. Authorized Official

Name: KIMBERLY A HAVERLY
Title or Position: CEO
Credential:
Phone: 785-263-6610