Organization
STANTON COUNTY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE DAVIDSON (CEO)
(620) 492-6250
Entity
Organization
Contact information
Practice address
404 N. CHESTNUT ST., JOHNSON, KS 67855-0779
(620) 492-6250
(620) 492-1447
Mailing address
PO BOX 779, 404 N. CHESTNUT ST., JOHNSON, KS 67855-0779
(620) 492-6250
(620) 492-1447
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
H094001
KS
367500000X
Certified Registered Nurse Anesthetist
H094001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016858
BCBS PROFESSIONAL
KS
01
—
100099050A
MEDICAID, PROFESSIONAL
KS
Enumeration date
01/08/2007
Last updated
03/06/2026
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