Fredonia Regional Hospital
Organization Active NPI Ambulance · Fredonia, KS
NPI 1467565705 · NPPES record last updated Mar 10, 2021
Key facts
- NPI
- 1467565705
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 640 (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
- Organization subpart
- No
Authorized official
- Name
- Tracy Lynn Row
- Title
- Business Office Manager
- Phone
- (620) 378-6204
Corporate family (same tax ID) 4
National Provider Directory
- Tax ID family
- Fredonia Regional EMS
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 640 | KS | Yes |
Addresses
Primary practice location
1527 Madison St
Fredonia, KS 66736-1751
Mailing address
1527 Madison St
Fredonia, KS 66736-1751
Phone (620) 378-2121
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5698 | Other | KS | BCBS AMBULANCE |
| 100102550D | Medicaid | KS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Fredonia@Fredonia-GPHA.CernerDirect.com | Direct |
Other providers in Fredonia, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.