# PHILLIPS COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Logan Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619913613
- **Authorized official:** RHONDA L KELLERMAN (CLINIC ADMINISTRATOR)
- **Authorized official phone:** (785) 543-5211

## Contact information

- **Practice address:** 214 W MAIN ST, LOGAN, KS 67646-9764
- **Practice address phone:** (785) 689-4220
- **Practice address fax:** (785) 689-4219
- **Mailing address:** 214 W MAIN ST, P.O. BOX 173, LOGAN, KS 67646-9764
- **Mailing address phone:** (785) 689-4220
- **Mailing address fax:** (785) 689-4219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 0433764 | KS | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | 44437 | KS | — |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 04/23/2015