Healthcare Provider Details

I. General information

NPI: 1588993232
Provider Name (Legal Business Name): HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2009
Last Update Date: 10/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 N HOSPITAL DR STE 3
GIRARD KS
66743-2047
US

IV. Provider business mailing address

302 N HOSPITAL DR
GIRARD KS
66743-2000
US

V. Phone/Fax

Practice location:
  • Phone: 620-724-8809
  • Fax: 620-724-8890
Mailing address:
  • Phone: 620-724-8291
  • Fax: 620-724-6332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberH019001
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberH019001
License Number StateKS
# 3
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberH019001
License Number StateKS
# 4
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: RUTH DULING
Title or Position: CEO
Credential:
Phone: 620-724-8291