Phillips County Hospital
Organization Active NPI Rural Health Clinic/Center · Logan, KS
NPI 1619913613 · NPPES record last updated Apr 23, 2015
Key facts
- NPI
- 1619913613
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- PHILLIPS COUNTY HOSPITAL
- Practice address
- 214 W Main St
Logan, KS 67646-9764 - Phone
- (785) 689-4220
- Fax
- (785) 689-4219
- NPI assigned
- Jun 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Rhonda L Kellerman
- Title
- Clinic Administrator
- Phone
- (785) 543-5211
Member of 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician |
208D00000X | 0433764 | KS | |
| Rural Health Clinic/Center | 261QR1300X | Yes | ||
| Nurse Practitioner |
363L00000X | 44437 | KS |
Addresses
Primary practice location
214 W Main St
Logan, KS 67646-9764
Mailing address
214 W Main St
P.O. Box 173
Logan, KS 67646-9764
Phone (785) 689-4220
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100409050C | Medicaid | KS |
Other names
- Logan Medical Clinic
Other providers in Logan, KS
All providers in Logan, KS · Rural Health Clinic/Center in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 23, 2015. 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.