# WILSON COUNTY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Neodesha Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639699309
- **Authorized official:** LORI C SMITH (CFO)
- **Authorized official phone:** (620) 325-8388

## Contact information

- **Practice address:** 2600 OTTAWA RD STE 101, NEODESHA, KS 66757-1897
- **Practice address phone:** (620) 325-2622
- **Practice address fax:** (620) 325-5380
- **Mailing address:** PO BOX 360, NEODESHA, KS 66757-0360
- **Mailing address phone:** (620) 325-2611
- **Mailing address fax:** (620) 325-8453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | H103002 | KS | Yes |

## Other

- **Enumeration date:** 06/23/2017
- **Last updated:** 09/25/2024