Healthcare Provider Details

I. General information

NPI: 1760488654
Provider Name (Legal Business Name): MEADE HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2005
Last Update Date: 10/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 E CARTHAGE
MEADE KS
67864
US

IV. Provider business mailing address

PO BOX 820
MEADE KS
67864-0820
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberUNKNOWN
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: WES L SCHNELLE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 620-873-2141