Sheridan County Hospital
Organization Active NPI Physical Therapist · Hoxie, KS
NPI 1114744489 · NPPES record last updated Oct 16, 2024
Key facts
- NPI
- 1114744489
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- SHERIDAN COUNTY HOSPITAL
- Practice address
- 720 Main St
Hoxie, KS 67740-8800 - Phone
- (785) 675-3281
- NPI assigned
- Sep 26, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- SHERIDAN COUNTY HOSPITAL
Authorized official
- Name
- Chad Koster
- Title
- Ceo
- Phone
- (785) 675-3281
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 9
Practitioners 13
-
Rebecca Sue Baker, PT,DPT
-
Madison Book, LSCSW
-
Jodi J Dumler, LSCSW
-
Joshua Gaede, MD
-
Brady Dale Gilson, P.A
-
Michael Lee Goode, CRNA
-
Michael E Machen, MD
-
Kristle E Raile, PA
-
Jill A Stewart, MD
-
Dallas C Walz, M.D.
-
Glenda M Wheeler, APRN
-
Alexis Sierra Foster, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050211000547 | KS | Part B Supplier - Clinic/Group Practice | 7416842380 |
Receives reassigned benefits from 13 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hoxie, KS; Oakley, KS; Quinter, KS |
National Provider Directory
- Tax ID family
- Hoxie Medical Clinic
- Part of
- Hoxie Medical Clinic
Locations
826 18th St
#415
Hoxie, KS 67740
Phone (785) 675-3018
826 18th St
#167
Hoxie, KS 67740
Phone (785) 675-3281
211 Cherry Ave
Ste A
Oakley, KS 67748
Phone (785) 675-3018
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
720 Main St
Hoxie, KS 67740-8800
Mailing address
PO Box 167
Hoxie, KS 67740-0167
Phone (785) 675-3281
Other names
- Amber Med - Restore Therapy
Other providers in Hoxie, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.