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Organization

GREENWOOD COUNTY HOSPITAL

Active
Other names
BASHAM CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EDWARD RILEY (CEO)
(620) 583-7451
Entity
Organization

Contact information

Practice address
100 W 16TH ST, EUREKA, KS 67045-1064
(620) 583-7451
(620) 583-6702
Mailing address
100 W 16TH ST, EUREKA, KS 67045-1064
(620) 583-7451
(620) 583-6702

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
H037001
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100428860A
KS
Enumeration date
10/18/2006
Last updated
06/26/2012
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