Hospital District No 1 Crawford County
Organization Active NPI Orthopaedic Surgery Physician · Girard, KS
NPI 1588993232 · NPPES record last updated Oct 19, 2018
Key facts
- NPI
- 1588993232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- H019001 (KS)
- Legal business name
- HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
- Practice address
- 307 N Hospital Dr Ste 3
Girard, KS 66743-2047 - Phone
- (620) 724-8809
- Fax
- (620) 724-8890
- NPI assigned
- Dec 9, 2009
- Organization subpart
- No
Authorized official
- Name
- Ruth Duling
- Title
- Ceo
- Phone
- (620) 724-8291
Other NPIs on the same Medicare enrollment 4
Corporate family (same tax ID) 18
Practitioners 5
-
Tanya Marie Brokob, APRN
-
Kathryn Hope Flora, ARNP
-
Chandroutie Latchman, D.O
-
Maria N Gomes, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040112000337 | KS | Part B Supplier - Clinic/Group Practice | 3476464538 |
Receives reassigned benefits from 54 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cherokee, KS; Pittsburg, KS; Girard, KS; Frontenac (Pittsburg), KS; Fort Scott, KS; Arma, KS |
National Provider Directory
- Tax ID family
- James T Wilkins MD
Locations
419 E Washington St
Arma, KS 66712
Phone (620) 347-4711
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician |
207X00000X | H019001 | KS | Yes |
| Otolaryngology Physician |
207Y00000X | H019001 | KS | |
| Neurology Physician |
2084N0400X | H019001 | KS | |
| Surgery Physician |
208600000X |
Addresses
Primary practice location
307 N Hospital Dr Ste 3
Girard, KS 66743-2047
Mailing address
302 N Hospital Dr
Girard, KS 66743-2000
Phone (620) 724-8291
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| H019001 | Other | KS | KANSAS FACILITY LICENSE |
Other names
- Girard Medical Center Specialty Clinic
Other providers in Girard, KS
- Hospital District #1 of Crawford County
- Hospital District No 1 Crawford County
- Hospital District No 1 Crawford County
- Hospital District No 1 Crawford County
- Hospital District No 1 Crawford County
- Hospital District No 1 Crawford County
- Hospital District No 1 Crawford County
- Simon Howayek
- Karen Adele Johnson
- Kannarr Eye Care, LLC
All providers in Girard, KS · Orthopaedic Surgery Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2018. 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.