Greenwood County Hospital
Organization Active NPI Family Medicine Physician · Eureka, KS
NPI 1861695835 · NPPES record last updated Oct 12, 2015
Key facts
- NPI
- 1861695835
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- GREENWOOD COUNTY HOSPITAL
- Practice address
- 100 West 16TH St.
Eureka, KS 67045-1047 - Phone
- (620) 583-5274
- Fax
- (620) 583-5194
- NPI assigned
- Jun 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Nancy J McKenzie
- Title
- Ceo
- Phone
- (620) 583-7451
Corporate family (same tax ID) 7
Practitioners 14
-
Shannon Barus, APRN
-
Heather J. Bastian, APRN
-
Jennifer Eagleson, APRN
-
Robert William Hieger, APRN
-
Karen Leigh Larsen, APRN
-
Michael D McClintick, D.O.
-
Kayla Nicole McCoy, APRN
-
Michael Justin Moore, ARNP
-
Shawn Eric Raymond, APRN
-
Matthew C Ridder, ARNP
-
Patricia R. Ringer, APRN
-
Lisa K Warren, PA
-
Summer R Masters, NP
National Provider Directory
- Tax ID family
- Greenwood County Hospital
Locations
1602 N Elm St
Ste 2B
Eureka, KS 67045
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
100 West 16TH St.
Eureka, KS 67045-1047
Mailing address
100 West 16TH St.
Eureka, KS 67045-1047
Phone (620) 583-5274
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100070000G | Medicaid | KS |
Other names
- Eureka Clinic
Other providers in Eureka, KS
- Greenwood County Hospital
- Greenwood County Hospital
- Greenwood County Hospital
- Greenwood County Hospital
- Greenwood County Hospital
- Greenwood County Hospital
- Martha Heffron
- Carla A Hilton
- Carey D Hurt
- Wilma Knowles
All providers in Eureka, KS · Family Medicine 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 12, 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.