Healthcare Provider Details

I. General information

NPI: 1063489789
Provider Name (Legal Business Name): STEVENS COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2006
Last Update Date: 04/26/2024
Certification Date: 04/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1042 S JACKSON ST
HUGOTON KS
67951-2842
US

IV. Provider business mailing address

1042 S JACKSON ST
HUGOTON KS
67951-2842
US

V. Phone/Fax

Practice location:
  • Phone: 620-544-4726
  • Fax: 620-544-7822
Mailing address:
  • Phone: 620-544-4726
  • Fax: 620-544-7245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER FEATHERSTON
Title or Position: CEO
Credential:
Phone: 620-544-6178