Provider Demographics
NPI:1295217305
Name:MORRIS COUNTY HOSPITAL
Entity type:Organization
Organization Name:MORRIS COUNTY HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHRISTENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-767-6811
Mailing Address - Street 1:600 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:COUNCIL GROVE
Mailing Address - State:KS
Mailing Address - Zip Code:66846-1499
Mailing Address - Country:US
Mailing Address - Phone:620-767-6844
Mailing Address - Fax:620-767-5611
Practice Address - Street 1:604 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:COUNCIL GROVE
Practice Address - State:KS
Practice Address - Zip Code:66846-1422
Practice Address - Country:US
Practice Address - Phone:620-767-5126
Practice Address - Fax:620-767-6910
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORRIS COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty