Organization
EMPORIA SURGICAL HOSPITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH CONROY (ADMINISTRATOR)
(620) 342-8822
Entity
Organization
Contact information
Practice address
1602 W 15TH AVE, EMPORIA, KS 66801-0984
(620) 342-8822
(620) 342-8832
Mailing address
1602 W 15TH AVE, EMPORIA, KS 66801-0984
(620) 342-8822
(620) 342-8832
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
H056002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001523
BLUECROSS BLUE SHIELD
KS
01
—
503710
FIRST GUARD
KS
Enumeration date
06/21/2005
Last updated
08/22/2020
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