Healthcare Provider Details

I. General information

NPI: 1881728756
Provider Name (Legal Business Name): MEADE DISTRICT HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 07/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 E CARTHAGE ST
MEADE KS
67864-0820
US

IV. Provider business mailing address

PO BOX 820
MEADE KS
67864-0820
US

V. Phone/Fax

Practice location:
  • Phone: 620-873-2141
  • 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 Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

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