Organization
NEOSHO MEMORIAL REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN K TINSLEY (CFO)
(620) 431-4000
Entity
Organization
Contact information
Practice address
629 S PLUMMER AVE, CHANUTE, KS 66720-1928
(620) 431-4000
(620) 431-7556
Mailing address
PO BOX 426, CHANUTE, KS 66720-0426
(620) 431-4000
(620) 431-7556
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000135
BCBS MEDICAL
KS
05
—
100004340A
—
KS
Enumeration date
05/19/2006
Last updated
10/25/2024
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