Healthcare Provider Details

I. General information

NPI: 1275531642
Provider Name (Legal Business Name): KEARNY COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2005
Last Update Date: 04/06/2021
Certification Date: 04/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 COURT PL
LAKIN KS
67860-9704
US

IV. Provider business mailing address

500 E THORPE ST
LAKIN KS
67860-9625
US

V. Phone/Fax

Practice location:
  • Phone: 620-355-7836
  • Fax: 620-355-1527
Mailing address:
  • Phone: 620-355-7111
  • Fax: 620-355-1527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License NumberH-047-001
License Number StateKS

VIII. Authorized Official

Name: DAVID HOFMEISTER
Title or Position: CEO
Credential:
Phone: 620-355-7111