Healthcare Provider Details

I. General information

NPI: 1528010717
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: 05/16/2006
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: 785-263-6606
Mailing address:
  • Phone: 785-263-2100
  • Fax: 785-263-6606

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberH 021 001
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License NumberH 021 001
License Number StateKS

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier001260
Identifier TypeOTHER
Identifier StateKS
Identifier IssuerBCBS SWINGBED
# 2
Identifier100098760A
Identifier TypeMEDICAID
Identifier StateKS
Identifier Issuer

VIII. Authorized Official

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