Healthcare Provider Details

I. General information

NPI: 1942316799
Provider Name (Legal Business Name): SHERIDAN COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2006
Last Update Date: 11/17/2021
Certification Date: 11/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 18TH ST STE A BOX 415
HOXIE KS
67740-4373
US

IV. Provider business mailing address

826 18TH ST STE A PO BOX 415
HOXIE KS
67740-4373
US

V. Phone/Fax

Practice location:
  • Phone: 785-675-3018
  • Fax: 785-675-2306
Mailing address:
  • Phone: 785-675-3018
  • Fax: 785-675-2306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: MRS. NICETA B FARBER
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 785-675-3281