Organization
EDWARDS COUNTY HOSPITAL AND HEALTHCARE CENTER
Active
Other names
Midway Clinic, Edwards County Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
JIMMIE HANSEL (CHIEF EXECUTIVE OFFICER)
(620) 659-3621
Entity
Organization
Contact information
Practice address
620 W 8TH ST, KINSLEY, KS 67547-2329
(620) 659-3621
(620) 659-3869
Mailing address
620 W 8TH ST, KINSLEY, KS 67547-2329
(620) 659-3621
(620) 659-3810
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
173495
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016623
BLUE CROSS BLUE SHIELD
—
05
—
100009380A
—
KS
Enumeration date
09/05/2006
Last updated
08/30/2022
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