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NPI 1164365896

NPI 1164365896 : NEOSHO MEMORIAL REGIONAL MEDICAL CENTER : HUMBOLDT, KS

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General NPI Number Information
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    NPI Number           |    1164365896
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEOSHO MEMORIAL REGIONAL MEDICAL CENTER 
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Dates
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    Enumeration Date     |    04/09/2026
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    Last Update Date     |    04/09/2026
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Provider Practice Location Address
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    Address Line         |    1323 GEORGIA RD 
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    City                 |    HUMBOLDT
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    State                |    KS
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    Zip                  |    66748-3000
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    Country              |    US
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    Telephone            |    620-473-2275
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    Fax                  |    620-473-2821
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Provider Business Mailing Address
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    Address Line         |    PO BOX 426 
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    City                 |    CHANUTE
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    State                |    KS
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    Zip                  |    66720-0426
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    Country              |    US
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    Telephone            |    620-431-4000
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    Fax                  |    620-431-7556
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Authorized Official
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    Title or Position    |    HUMAN RESOURCES OFFICER
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    Name                 |     SHELLI R SHEERER 
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    Credential           |    
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    Telephone            |    620-432-5326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QR1300X
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    Taxonomy Name        |    Rural Health Clinic/Center
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    License Number       |    
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    License Number State |    
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