Fredonia Regional Hospital

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

FREDONIA REGIONAL HOSPITAL

Practice address

1527 Madison St
Fredonia, KS 66736-1751

Phone

(620) 378-2121

Fax

(620) 378-3169

NPI assigned

Aug 17, 2006

Last updated

Mar 10, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tracy Lynn Row

Title

Business Office Manager

Phone

(620) 378-6204

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Fredonia Regional Hospital

  • Critical Access Hospital
  • Fredonia, KS
  • NPI 1285634006

  O20050302000768

  Same enrollment
• Fredonia Regional Hospital

  dba Drs. Morris and Hill Medical Clinic

  • Health Service Clinic/Center
  • Fredonia, KS
  • NPI 1538947577

  O20050302000768

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley Houser, D.O.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1013399773
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1376656611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 MADISON ST",
            "city": "FREDONIA",
            "state": "KS",
            "postal_code": "667361751",
            "telephone_number": "620-378-2121",
            "fax_number": "620-378-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 MADISON ST",
            "city": "FREDONIA",
            "state": "KS",
            "postal_code": "667361751",
            "telephone_number": "620-378-2121",
            "fax_number": "620-378-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDONIA REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "ROW",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "620-378-6204"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PSYCHIATRIC IPOP",
            "identifier": "17M374",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PSYCHIATRIC IPOP",
            "identifier": "635",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Fredonia@Fredonia-GPHA.CernerDirect.com",
            "affiliation": "N",
            "endpointDescription": "PI_Fredonia, Direct Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1527 Madison St",
            "city": "Fredonia",
            "state": "KS",
            "country_code": "US",
            "postal_code": "667361751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Holly Dyrud, LMSW
• Jessica L Evans, NP
• Fredonia Pharmacy Inc (Fredonia Pharmacy LTC)
• Fredonia Pharmacy Inc (Fredonia Pharmacy)
• Fredonia Regional Hospital
• Fredonia Regional Hospital
• Fredonia Regional Hospital (Drs. Morris and Hill Medical Clinic)
• Fredonia Regional Hospital
• Fredonia Regional Hospital (Drs. Morris and Hill Medical Clinic)
• William J Garey, MD

• Psychiatric Hospital Unit in Fredonia, KS
• Providers in Fredonia, KS by specialty
• Psychiatric Hospital Unit in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.