Provider Demographics
NPI:1487616314
Name:HOSPITAL DISTRICT 5 OF HARPER COUNTY KANSAS
Entity type:Organization
Organization Name:HOSPITAL DISTRICT 5 OF HARPER COUNTY KANSAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:CINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-896-7324
Mailing Address - Street 1:700 W 13TH ST
Mailing Address - Street 2:
Mailing Address - City:HARPER
Mailing Address - State:KS
Mailing Address - Zip Code:67058-1401
Mailing Address - Country:US
Mailing Address - Phone:620-435-6356
Mailing Address - Fax:620-435-6169
Practice Address - Street 1:102 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ARGONIA
Practice Address - State:KS
Practice Address - Zip Code:67004
Practice Address - Country:US
Practice Address - Phone:620-435-6356
Practice Address - Fax:620-435-6169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-05
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH039003261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100098960EMedicaid
KS173440Medicare Oscar/Certification