Organization
GREENWOOD COUNTY HOSPITAL
Active
Other names
Greenwood Medical Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD E RILEY (CEO)
(620) 583-7451
Entity
Organization
Contact information
Practice address
105 W 16TH ST, EUREKA, KS 67045
(620) 583-5967
(620) 583-5525
Mailing address
105 W 16TH ST, EUREKA, KS 67045
(620) 583-5967
(620) 583-5525
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
H037001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6572970001
MEDICARE PTAN
KS
Enumeration date
02/01/2011
Last updated
03/08/2013
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