# KIOWA DISTRICT HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KIOWA DISTRICT HOSPITAL
- **Other names:** Kiowa District Hospital-Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093708596
- **Legal business name:** KIOWA DISTRICT HOSPITAL
- **Authorized official:** JANELL LYN GOODNO (CFO)
- **Authorized official phone:** (620) 825-4131

## Contact information

- **Practice address:** 1002 S 4TH ST, KIOWA, KS 67070-1825
- **Practice address phone:** (620) 825-4131
- **Practice address fax:** (620) 825-4667
- **Mailing address:** 810 DRUMM ST, KIOWA, KS 67070-1626
- **Mailing address phone:** (620) 825-4131
- **Mailing address fax:** (620) 825-4667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 178506 | KS | Yes |

## Other

- **Enumeration date:** 08/30/2005
- **Last updated:** 11/02/2023