Healthcare Provider Details
I. General information
NPI: 1083751036
Provider Name (Legal Business Name): MORRIS COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/31/2007
Last Update Date: 08/22/2020
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
- Phone: 620-767-6811
- Fax: 620-767-5611
- Phone: 620-767-6811
- Fax: 620-767-5611
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367500000X |
| Taxonomy | Certified Registered Nurse Anesthetist |
| License Number | |
| License Number State | KS |
VIII. Authorized Official
Name:
RON
CHRISTENSON
Title or Position: CFO
Credential:
Phone: 620-767-6811