Healthcare Provider Details

I. General information

NPI: 1952406514
Provider Name (Legal Business Name): KIOWA COUNTY MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2006
Last Update Date: 04/14/2023
Certification Date: 04/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 W KANSAS AVE
GREENSBURG KS
67054-1633
US

IV. Provider business mailing address

721 W KANSAS AVE
GREENSBURG KS
67054-1633
US

V. Phone/Fax

Practice location:
  • Phone: 620-723-3341
  • Fax: 620-723-2195
Mailing address:
  • Phone: 620-723-3341
  • Fax: 620-723-2195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License Number
License Number State

VIII. Authorized Official

Name: JANE OBORNY
Title or Position: CFO
Credential:
Phone: 620-723-3341