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Organization

STAFFORD COUNTY HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JO DUVALL (ASST. ADMINISTRATOR)
(620) 234-5221
Entity
Organization

Contact information

Practice address
502 SOUTH BUCKEYE STREET, STAFFORD, KS 67578-0190
(620) 234-5221
(620) 234-5792
Mailing address
502 S BUCKEYE ST, STAFFORD, KS 67578-2035
(620) 234-5221
(620) 234-5792

Taxonomy

Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
H093002
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000042
BCBS- HOSPITAL
KS
05
100099380A
KS
01
110930
BCBS PART B (ER)
KS
Enumeration date
08/20/2006
Last updated
08/26/2014
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