Healthcare Provider Details

I. General information

NPI: 1386699965
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: 05/23/2006
Last Update Date: 01/16/2023
Certification Date: 01/16/2023
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 TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License NumberH 021 001
License Number StateKS

VIII. Authorized Official

Name: REGINALD HAROLD COURTOIS
Title or Position: CEO
Credential:
Phone: 785-263-6610