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NPI Code Detail

MEDICARE: MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS

MEDICARE: MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care AgencyZ062001KS

General Provider Information

NPI Number : 1578651030
Entity Type Code : Organization
Provider Name (Legal Business Name) : MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS
Provider Business Mailing Address
First Line : PO BOX 399
Second Line :
City : BELOIT
State : KS
Zip : 67420-0399
Country : US
Telephone Number : 785-738-2266
Fax Number : 785-738-9503
Provider Business Practice Location Address
First Line : 111 E. COURT
Second Line :
City : BELOIT
State : KS
Zip : 67420-1605
Country : US
Telephone Number : 785-738-2266
Fax Number : 785-738-9503
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : MR. ELDON KOEPKE
Credential :
Telephone Number : 785-738-2266
Provider Enumeration Date : 10/10/2006
Last Update Date : 02/01/2012

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Directions to “MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS ” Practice Location

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