Neosho Memorial Regional Medical Center

Organization Active NPI Family Health Clinical Nurse Specialist · Chanute, KS

NPI 1730557166 · NPPES record last updated Oct 25, 2024

Key facts

NPI
1730557166
Entity type
Organization (NPI type 2)
Primary specialty
Family Health Clinical Nurse Specialist 364SF0001X
License
76903 (KS)
Legal business name
NEOSHO MEMORIAL REGIONAL MEDICAL CENTER
Practice address
629 S Plummer Ave
Chanute, KS 66720-1928
Phone
(620) 431-4000
Fax
(620) 431-7556
NPI assigned
Sep 2, 2015
Organization subpart
No

Authorized official

Name
Lauren K Tinsley
Title
Cfo
Phone
(620) 431-4000

Corporate family (same tax ID) 14

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

National Provider Directory

Tax ID family
Neosho Memorial Hospita (15 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Clinical Nurse Specialist
Group: 193200000X MULTI-SPECIALTY GROUP
364SE0003X 76903 KS
Family Health Clinical Nurse Specialist
Group: 193200000X MULTI-SPECIALTY GROUP
364SF0001X 76903 KS Yes

Addresses

Primary practice location

629 S Plummer Ave
Chanute, KS 66720-1928

Mailing address

629 S Plummer Ave
Chanute, KS 66720-1928
Phone (620) 431-4000

Other identifiers

IdentifierTypeStateIssuer
76903OtherKSSTATE LICENSE

Other providers in Chanute, KS

All providers in Chanute, KS · Family Health Clinical Nurse Specialist in Kansas

Sources for this page

Verify at the official NPI Registry.