Healthcare Provider Details
I. General information
NPI: 1336128644
Provider Name (Legal Business Name): NEMAHA VALLEY COMMUNITY HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/13/2006
Last Update Date: 06/25/2020
Certification Date: 06/25/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1600 COMMUNITY DR
SENECA KS
66538-9739
US
IV. Provider business mailing address
1600 COMMUNITY DR
SENECA KS
66538-9739
US
V. Phone/Fax
- Phone: 785-336-6107
- Fax: 785-336-0157
- Phone: 785-336-6107
- Fax: 785-336-0157
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR1300X |
| Taxonomy | Rural Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
KILEY
FLOYD
Title or Position: CEO
Credential:
Phone: 785-336-6181