Organization
MITCHELL COUNTY HOSPITAL HEALTH SYSTEMS
Active
Other names
CRNA Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELDON KOEPKE (CHIEF FINANCIAL OFFICER)
(785) 738-2266
Entity
Organization
Contact information
Practice address
400 WEST 8TH ST, BELOIT, KS 67420
(785) 738-2266
(785) 738-9503
Mailing address
PO BOX 399, BELOIT, KS 67420-0399
(785) 738-2266
(785) 738-9503
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE110
MEDICARE RAILROAD CARRIER
KS
Enumeration date
03/05/2007
Last updated
02/20/2008
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