Organization
WILSON COUNTY HOSPITAL
Active
Other names
Neodesha Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
LORI C SMITH (CFO)
(620) 325-8388
Entity
Organization
Contact information
Practice address
2600 OTTAWA RD STE 101, NEODESHA, KS 66757-1897
(620) 325-2622
(620) 325-5380
Mailing address
PO BOX 360, NEODESHA, KS 66757-0360
(620) 325-2611
(620) 325-8453
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
H103002
KS
Other
Enumeration date
06/23/2017
Last updated
09/25/2024
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