# FREDONIA REGIONAL HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467565705
- **Authorized official:** TRACY LYNN ROW (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (620) 378-6204

## Contact information

- **Practice address:** 1527 MADISON ST, FREDONIA, KS 66736-1751
- **Practice address phone:** (620) 378-2121
- **Practice address fax:** (620) 378-3169
- **Mailing address:** 1527 MADISON ST, FREDONIA, KS 66736-1751
- **Mailing address phone:** (620) 378-2121
- **Mailing address fax:** (620) 378-3169

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 341600000X | Ambulance | 640 | KS | Yes |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 03/10/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100102550D | — | KS |
| 01 | — | 5698 | BCBS AMBULANCE | KS |