Healthcare Provider Details

I. General information

NPI: 1366499717
Provider Name (Legal Business Name): PHILLIPS COUNTY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 12/21/2022
Certification Date: 12/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1719 HIGHWAY 183
PHILLIPSBURG KS
67661-2549
US

IV. Provider business mailing address

1719 HIGHWAY 183 P.O. BOX 547
PHILLIPSBURG KS
67661-2549
US

V. Phone/Fax

Practice location:
  • Phone: 785-543-5211
  • Fax: 785-543-5274
Mailing address:
  • Phone: 785-543-5211
  • Fax: 785-543-5274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TARA OVERMILLER
Title or Position: COO
Credential:
Phone: 785-540-4925