Healthcare Provider Details

I. General information

NPI: 1023689841
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

108 S MAIN ST
HILLSBORO KS
67063-1526
US

IV. Provider business mailing address

PO BOX 1386
JUNCTION CITY KS
66441-1386
US

V. Phone/Fax

Practice location:
  • Phone: 620-877-4305
  • Fax: 620-877-4320
Mailing address:
  • Phone: 785-258-5130
  • Fax: 785-258-5129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ISABEL S SCHMEDEMANN
Title or Position: CEO
Credential:
Phone: 785-258-5132