# EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER
- **Other names:** Edwards County Hospital Life Care Unit
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215122429
- **Legal business name:** EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER
- **Authorized official:** MR. ROBERT KRICKBAUM (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (620) 659-3621

## Contact information

- **Practice address:** 620 WINCHESTER AVE, KINSLEY, KS 67547-2348
- **Practice address phone:** (620) 659-3621
- **Practice address fax:** (620) 659-3869
- **Mailing address:** 620 W 8TH ST, KINSLEY, KS 67547-2329
- **Mailing address phone:** (620) 659-3621
- **Mailing address fax:** (620) 659-3869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC0050X | Critical Access Hospital Clinic/Center | 261QC0050X | KS | Yes |

## Other

- **Enumeration date:** 09/11/2007
- **Last updated:** 09/10/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100103110A | — | KS |