Healthcare Provider Details

I. General information

NPI: 1851584460
Provider Name (Legal Business Name): MEADE HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2007
Last Update Date: 04/15/2021
Certification Date: 04/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 N HART
MEADE KS
67864-0820
US

IV. Provider business mailing address

PO BOX 820
MEADE KS
67864-0820
US

V. Phone/Fax

Practice location:
  • Phone: 620-873-2112
  • Fax: 620-873-5371
Mailing address:
  • Phone: 620-873-2112
  • Fax: 620-873-5371

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE A SAUCEDO
Title or Position: CFO
Credential:
Phone: 620-873-7540