Healthcare Provider Details

I. General information

NPI: 1326087966
Provider Name (Legal Business Name): HOSPITAL DISTRICT NO 1 MARION CO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 S FREEBORN ST
MARION KS
66861-1256
US

IV. Provider business mailing address

535 S FREEBORN ST
MARION KS
66861-1256
US

V. Phone/Fax

Practice location:
  • Phone: 620-382-2177
  • Fax: 620-382-9104
Mailing address:
  • Phone: 620-382-2177
  • Fax: 620-382-9104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License NumberH057003
License Number StateKS

VIII. Authorized Official

Name: ALEX HAINES
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 620-382-2177