Organization
MINNEOLA DISTRICT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN ROLAND (CEO)
(620) 885-4264
Entity
Organization
Contact information
Practice address
212 MAIN ST, MINNEOLA, KS 67865-0127
(620) 885-4264
(620) 885-4602
Mailing address
PO BOX 127, MINNEOLA, KS 67865-0127
(620) 885-4264
(620) 885-4602
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
H013002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100010520D
—
KS
Enumeration date
07/27/2007
Last updated
04/27/2011
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