Healthcare Provider Details

I. General information

NPI: 1750314720
Provider Name (Legal Business Name): MORRIS COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 01/31/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 N WASHINGTON ST
COUNCIL GROVE KS
66846-1422
US

IV. Provider business mailing address

600 N WASHINGTON ST
COUNCIL GROVE KS
66846-1422
US

V. Phone/Fax

Practice location:
  • Phone: 620-767-6811
  • Fax: 620-767-5611
Mailing address:
  • Phone: 620-767-6811
  • Fax: 620-767-5611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberH064001
License Number StateKS

VIII. Authorized Official

Name: MR. JAMES H REAGAN JR.
Title or Position: CEO
Credential:
Phone: 620-767-6811