Organization
KIOWA DISTRICT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE DAVIS (INTERIM CEO)
(620) 825-4131
Entity
Organization
Contact information
Practice address
1002 S 4TH ST, KIOWA, KS 67070-1825
(620) 825-4131
(620) 825-4753
Mailing address
1002 S 4TH ST, KIOWA, KS 67070-1825
(620) 825-4131
(620) 825-4753
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110083
BCBS
KS
Enumeration date
08/30/2005
Last updated
11/18/2020
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