# KIOWA COUNTY MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greensburg Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417901927
- **Authorized official:** MORGAN RENEE ALLISON (CEO)
- **Authorized official phone:** (620) 723-4203

## Contact information

- **Practice address:** 721 W KANSAS AVE, GREENSBURG, KS 67054-1633
- **Practice address phone:** (620) 723-2127
- **Practice address fax:** (620) 508-2067
- **Mailing address:** 721 W KANSAS AVE, GREENSBURG, KS 67054-1633
- **Mailing address phone:** (620) 723-2127
- **Mailing address fax:** (620) 723-2127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | KS | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 05/20/2006
- **Last updated:** 01/19/2024