MEDICARE: NEWTON HEALTHCARE CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QR0200X	Radiology Clinic/Center
2	282N00000X	General Acute Care Hospital
3	291U00000X	Clinical Medical Laboratory

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	111263	OTHER	KS	BLUE CROSS BLUE SHIELD PR
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174573752
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWTON HEALTHCARE CORPORATION

Provider Business Mailing Address
First Line	:	600 MEDICAL CENTER DR
Second Line	:
City	:	NEWTON
State	:	KS
Zip	:	67114-8780
Country	:	US
Telephone Number	:	316-283-2700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1755 E 61ST ST N
Second Line	:
City	:	PARK CITY
State	:	KS
Zip	:	67219-1917
Country	:	US
Telephone Number	:	316-283-2700
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CHIEF EXECUTIVE OFFICER
Name	:	DR. STEVEN G KELLY
Credential	:	D.H.A.,F.A.C.H.E.
Telephone Number	:	316-283-2700

Provider Enumeration Date	:	05/12/2006
Last Update Date	:	11/12/2008

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Directions to “NEWTON HEALTHCARE CORPORATION ” Practice Location

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