Sheridan County Hospital
Organization Active NPI Critical Access Hospital Clinic/Center · Hoxie, KS
NPI 1730694282 · NPPES record last updated Dec 6, 2017
Key facts
- NPI
- 1730694282
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Critical Access Hospital Clinic/Center 261QC0050X
- License
- H090001 (KS)
- Legal business name
- SHERIDAN COUNTY HOSPITAL
- Practice address
- 826 18TH St
Hoxie, KS 67740-4372 - Phone
- (785) 675-3281
- Fax
- (785) 675-3840
- NPI assigned
- Dec 6, 2017
- Organization subpart
- No
Authorized official
- Name
- Jess Randel
- Title
- It Director
- Phone
- (785) 675-3281
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 9
Practitioners 3
-
Brady Dale Gilson, P.A
-
Michael Lee Goode, CRNA
-
Dallas C Walz, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050211000547 | KS | Part B Supplier - Clinic/Group Practice | 7416842380 |
Receives reassigned benefits from 13 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hoxie, KS; Oakley, KS; Quinter, KS |
National Provider Directory
- Tax ID family
- Hoxie Medical Clinic
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Access Hospital Clinic/Center | 261QC0050X | H090001 | KS | Yes |
Addresses
Primary practice location
826 18TH St
Hoxie, KS 67740-4372
Mailing address
PO Box 167
Hoxie, KS 67740-0167
Phone (785) 675-3281
Other providers in Hoxie, KS
- Sheridan County Hospital
- Sheridan County Hospital
- Sheridan County Hospital
- Sheridan County Hospital
- Sheridan County Hospital
- Sheridan County Hospital
- Sheridan County Hospital
- Jill A Stewart
- Amanda Rose Volchko
- Connie S. Walden
All providers in Hoxie, KS · Critical Access Hospital 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 Dec 6, 2017. 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.