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General NPI Number Information
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NPI Number | 1255421210
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Entity Type | Organization
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Legal Business Name | HIAWATHA HOSPITAL ASSOCIATION INC
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 300 UTAH ST
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City | HIAWATHA
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State | KS
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Zip | 66434-2314
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Country | US
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Telephone | 785-742-2131
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Fax | 785-742-6588
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Provider Business Mailing Address
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Address Line | 300 UTAH ST
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City | HIAWATHA
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State | KS
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Zip | 66434-2326
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Country | US
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Telephone | 785-742-2131
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Fax | 785-742-6558
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Authorized Official
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Title or Position | CEO
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Name | MR. JARED ABEL
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Credential |
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Telephone | 785-742-2131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | H007001
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License Number State | KS
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