Healthcare Provider Details

I. General information

NPI: 1710962014
Provider Name (Legal Business Name): HOSPITAL DISTRICT NO 1 OF RICE CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2005
Last Update Date: 10/31/2023
Certification Date: 10/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 S. CLARK
LYONS KS
67554-0828
US

IV. Provider business mailing address

PO BOX 828
LYONS KS
67554-0828
US

V. Phone/Fax

Practice location:
  • Phone: 620-257-5173
  • Fax: 620-257-2608
Mailing address:
  • Phone: 620-257-5173
  • Fax: 620-257-2608

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberH080001
License Number StateKS

VIII. Authorized Official

Name: WESTON TALLMAN
Title or Position: CFO
Credential:
Phone: 620-257-5173