NPIMap

Organization Active NPI

Fredonia Regional Hospital

  • Ambulance
  • Fredonia, KS
National Provider Identifier
1467565705
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
640 Issued in KS
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
Reactivated
Oct 31, 2013
Last updated
Mar 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 640 KS Primary

Addresses

Primary practice location

1527 Madison St
Fredonia, KS 66736-1751

Mailing address

1527 Madison St
Fredonia, KS 66736-1751
Phone (620) 378-2121

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Fredonia@Fredonia-GPHA.CernerDirect.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Fredonia Regional Hospital5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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": "1467565705",
    "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",
        "deactivation_date": "2007-08-14",
        "reactivation_date": "2013-10-31",
        "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": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "KS",
            "license": "640",
            "primary": true
        }
    ],
    "identifiers": [],
    "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": []
}

Other providers in Fredonia, KS

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.