# HOSPITAL DISTRICT NO. 1 OF DICKINSON COUNTY, KANSAS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HOSPITAL DISTRICT NO. 1 OF DICKINSON COUNTY, KANSAS
- **Other names:** Memorial Hospital Professional Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063467868
- **Legal business name:** HOSPITAL DISTRICT NO. 1 OF DICKINSON COUNTY, KANSAS
- **Authorized official:** REGINALD HAROLD COURTOIS (CEO)
- **Authorized official phone:** (785) 263-6610

## Contact information

- **Practice address:** 511 NE 10TH ST, ABILENE, KS 67410-2153
- **Practice address phone:** (785) 263-2100
- **Practice address fax:** (785) 263-6677
- **Mailing address:** 511 NE 10TH ST, ABILENE, KS 67410-2153
- **Mailing address phone:** (785) 263-2100
- **Mailing address fax:** (785) 263-6677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208600000X | Surgery Physician | T-01667 | KS | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 01/13/2023