Healthcare Provider Details

I. General information

NPI: 1578505095
Provider Name (Legal Business Name): HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 09/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 N HOSPITAL DR
GIRARD KS
66743-2000
US

IV. Provider business mailing address

302 N HOSPITAL DR
GIRARD KS
66743-2000
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberH019001
License Number StateKS

VIII. Authorized Official

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