Healthcare Provider Details

I. General information

NPI: 1265529614
Provider Name (Legal Business Name): ASHLAND DISTRICT HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 03/31/2022
Certification Date: 03/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 KENTUCKY ST
ASHLAND KS
67831-3199
US

IV. Provider business mailing address

PO BOX 188
ASHLAND KS
67831-0188
US

V. Phone/Fax

Practice location:
  • Phone: 620-635-2241
  • Fax: 620-635-2229
Mailing address:
  • Phone: 620-635-2241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberH013001
License Number StateKS

VIII. Authorized Official

Name: MRS. SANDREA WRIGHT
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 620-635-2241