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NPI 1447467162

NPI 1447467162 : GEARY COUNTY HOSPITAL : JUNCTION CITY, KS

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General NPI Number Information
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    NPI Number           |    1447467162
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    Entity Type          |    Organization 
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    Legal Business Name  |    GEARY COUNTY HOSPITAL 
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Dates
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    Enumeration Date     |    05/16/2007
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    Last Update Date     |    06/14/2012
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Provider Practice Location Address
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    Address Line         |    1106 SAINT MARYS RD SUITE 307
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    City                 |    JUNCTION CITY
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    State                |    KS
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    Zip                  |    66441-4158
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    Country              |    US
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    Telephone            |    785-762-4255
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    Fax                  |    785-762-2859
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Provider Business Mailing Address
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    Address Line         |    1106 SAINT MARYS RD SUITE 307
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    City                 |    JUNCTION CITY
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    State                |    KS
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    Zip                  |    66441-4158
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    Country              |    US
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    Telephone            |    785-762-4255
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    Fax                  |    785-762-2859
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     DAVID K BRADLEY 
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    Credential           |    
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    Telephone            |    785-238-4131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207RG0300X
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    Taxonomy Name        |    Geriatric Medicine (Internal Medicine) Physician
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    License Number       |    04-19045
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    License Number State |    KS
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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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