Healthcare Provider Details
I. General information
NPI: 1558932376
Provider Name (Legal Business Name): HERINGTON HOSPITAL INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/02/2021
Last Update Date: 07/13/2022
Certification Date: 07/13/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1005 N B ST
HERINGTON KS
67449-1600
US
IV. Provider business mailing address
PO BOX 1386
JUNCTION CITY KS
66441-1386
US
V. Phone/Fax
- Phone: 785-258-5153
- Fax:
- Phone: 785-258-2207
- Fax: 785-258-3535
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ISABEL
S
SCHMEDEMANN
Title or Position: CEO
Credential:
Phone: 785-258-5132