Healthcare Provider Details

I. General information

NPI: 1639166770
Provider Name (Legal Business Name): GREENWOOD COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 W 16TH ST
EUREKA KS
67045-1064
US

IV. Provider business mailing address

100 W 16TH ST
EUREKA KS
67045-1064
US

V. Phone/Fax

Practice location:
  • Phone: 620-583-7451
  • Fax: 620-583-6884
Mailing address:
  • Phone: 620-583-7451
  • Fax: 620-583-6884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. LINDA SUE COOK
Title or Position: DIRECTOR
Credential:
Phone: 620-583-7451