Healthcare Provider Details

I. General information

NPI: 1477516565
Provider Name (Legal Business Name): COUNTY OF LANE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2006
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 W. VINE ST.
DIGHTON KS
67839-0969
US

IV. Provider business mailing address

PO BOX 969 235 WEST VINE STREET
DIGHTON KS
67839-0969
US

V. Phone/Fax

Practice location:
  • Phone: 620-397-5321
  • Fax: 620-397-2823
Mailing address:
  • Phone: 620-397-5321
  • Fax: 620-397-2823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberH051001
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License NumberH051001
License Number StateKS

VIII. Authorized Official

Name: MARCIA GABEL
Title or Position: CEO
Credential:
Phone: 620-397-5321