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General NPI Number Information
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NPI Number | 1003964677
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Entity Type | Organization
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Legal Business Name | STANTON COUNTY HOSPITAL
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 404 N. CHESTNUT ST.
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City | JOHNSON
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State | KS
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Zip | 67855-0779
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Country | US
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Telephone | 620-492-6250
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Fax | 620-492-1447
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Provider Business Mailing Address
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Address Line | PO BOX 779 404 N. CHESTNUT ST.
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City | JOHNSON
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State | KS
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Zip | 67855-0779
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Country | US
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Telephone | 620-492-6250
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Fax | 620-492-1447
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Authorized Official
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Title or Position | CEO
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Name | CAMILLE DAVIDSON
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Credential |
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Telephone | 620-492-6250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | H094001
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | H094001
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License Number State | KS
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