Healthcare Provider Details

I. General information

NPI: 1174576532
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: 05/18/2006
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 N BRADY ST
ABILENE KS
67410-2113
US

IV. Provider business mailing address

705 N BRADY ST
ABILENE KS
67410-2113
US

V. Phone/Fax

Practice location:
  • Phone: 785-263-1431
  • Fax: 785-263-7407
Mailing address:
  • Phone: 785-263-1431
  • Fax: 785-263-7407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License NumberH 021 001
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberH 021 001
License Number StateKS

VIII. Authorized Official

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