=====================================================
General NPI Number Information
=====================================================
NPI Number | 1225637200
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GEARY COUNTY HOSPITAL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/21/2020
-----------------------------------------------------
Last Update Date | 10/21/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1106 SAINT MARYS RD
-----------------------------------------------------
City | JUNCTION CITY
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66441-4158
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-762-4488
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1102 SAINT MARYS RD
-----------------------------------------------------
City | JUNCTION CITY
-----------------------------------------------------
State | KS
-----------------------------------------------------
Zip | 66441-4139
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 785-238-4498
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ASST CFO
-----------------------------------------------------
Name | EMILY EMERY-SHEA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 785-210-3309
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QU0200X
-----------------------------------------------------
Taxonomy Name | Urgent Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------