Healthcare Provider Details

I. General information

NPI: 1700980026
Provider Name (Legal Business Name): STANTON COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2006
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 N. CHESTNUT ST.
JOHNSON KS
67855-0779
US

IV. Provider business mailing address

404 N CHESTNUT ST
JOHNSON KS
67855-5001
US

V. Phone/Fax

Practice location:
  • Phone: 620-492-6250
  • Fax: 620-492-1447
Mailing address:
  • Phone: 620-492-6250
  • Fax: 620-492-1447

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code275N00000X
TaxonomyMedicare Defined Swing Bed Hospital Unit
License NumberH094001
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State

VIII. Authorized Official

Name: MS. CAMILLE DAVIDSON
Title or Position: ADMINISTRATOR
Credential:
Phone: 620-492-6250