Healthcare Provider Details

I. General information

NPI: 1174573752
Provider Name (Legal Business Name): NEWTON HEALTHCARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 11/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1755 E 61ST ST N
PARK CITY KS
67219-1917
US

IV. Provider business mailing address

600 MEDICAL CENTER DR
NEWTON KS
67114-8780
US

V. Phone/Fax

Practice location:
  • Phone: 316-283-2700
  • Fax:
Mailing address:
  • Phone: 316-283-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN G KELLY
Title or Position: PRESIDENT & CHIEF EXECUTIVE OFFICER
Credential: D.H.A.,F.A.C.H.E.
Phone: 316-283-2700