Healthcare Provider Details

I. General information

NPI: 1154281269
Provider Name (Legal Business Name): HAYSMED PARTNERS - GOVE COUNTY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2025
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 W 5TH ST
QUINTER KS
67752-9705
US

IV. Provider business mailing address

PO BOX 129 520 W 5TH STREET
QUINTER KS
67752-0129
US

V. Phone/Fax

Practice location:
  • Phone: 785-754-3341
  • Fax: 785-754-3329
Mailing address:
  • Phone: 785-754-3341
  • Fax: 785-754-3329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282NC0060X
TaxonomyCritical Access Hospital
License Number
License Number State

VIII. Authorized Official

Name: MR. EDWARD HERRMAN
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 785-623-5523