Healthcare Provider Details

I. General information

NPI: 1669665543
Provider Name (Legal Business Name): MEADE HOSPITAL FRIEND CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2007
Last Update Date: 11/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 GRANT ST
MEADE KS
67864
US

IV. Provider business mailing address

PO BOX 820 510 E CARTHAGE
MEADE KS
67864
US

V. Phone/Fax

Practice location:
  • Phone: 620-873-2141
  • Fax: 620-873-2576
Mailing address:
  • Phone: 620-873-2141
  • Fax: 620-873-2576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateKS

VIII. Authorized Official

Name: MS. LORI SMITH
Title or Position: CFO
Credential:
Phone: 620-873-2141