Healthcare Provider Details

I. General information

NPI: 1518995034
Provider Name (Legal Business Name): MORTON COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 10/27/2022
Certification Date: 10/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 HILLTOP STREET
ELKHART KS
67950
US

IV. Provider business mailing address

PO BOX 937
ELKHART KS
67950-0937
US

V. Phone/Fax

Practice location:
  • Phone: 620-697-2141
  • Fax: 620-697-4766
Mailing address:
  • Phone: 620-697-2141
  • Fax: 620-697-4766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code273R00000X
TaxonomyPsychiatric Hospital Unit
License NumberH065001
License Number StateKS

VIII. Authorized Official

Name: PATRICK CUSTER
Title or Position: CEO
Credential:
Phone: 620-697-2141