Organization
DECATUR HEALTH SYSTEMS INC
Active
Parent organization
DECATUR HEALTH SYSTEMS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DECATUR HEALTH SYSTEMS INC
Authorized official
MR. KYLE TEEL (INTERIM CEO & INTERM COO)
(785) 475-2208
Entity
Organization
Contact information
Practice address
810 W COLUMBIA ST, OBERLIN, KS 67749-2450
(785) 475-2208
(785) 475-2453
Mailing address
PO BOX 268, OBERLIN, KS 67749-0268
(785) 475-2208
(785) 475-2453
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
54112
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180045
BCBS CRNA FACILITY
KS
Enumeration date
03/14/2007
Last updated
04/19/2022
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