Organization
KIOWA DISTRICT HOSPITAL
Active
Parent organization
KIOWA DISTRICT HOSPITAL
Other names
Kiowa Hospital District Man4
Organization subpart
Yes
Provider details
NPI number
Legal business name
KIOWA DISTRICT HOSPITAL
Authorized official
JANELL LYN GOODNO (CEO/CFO)
(620) 825-4131
Entity
Organization
Contact information
Practice address
1020 MAIL STREET, KIOWA, KS 67070
(620) 825-4131
(620) 825-4667
Mailing address
1002 S 4TH ST, KIOWA, KS 67070-1825
(620) 825-4131
(620) 825-4667
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
17E597
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100111440A
—
KS
01
—
N004002
STATE LICENSE
KS
Enumeration date
04/08/2006
Last updated
11/18/2020
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