Organization
CLAY COUNTY MEDICAL CENTER
Active
Parent organization
CLAY COUNTY MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLAY COUNTY MEDICAL CENTER
Authorized official
AUSTIN GILLARD (CEO)
(785) 632-2144
Entity
Organization
Contact information
Practice address
617 LIBERTY ST, CLAY CENTER, KS 67432-1564
(785) 632-2144
(785) 632-3352
Mailing address
PO BOX 512, CLAY CENTER, KS 67432-0512
(785) 632-2144
(785) 632-3352
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
H014001
KS
282NC0060X
Critical Access Hospital
H014001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098830A
—
KS
01
—
1591
BLUE CROSS SWING BED
KS
Enumeration date
05/23/2006
Last updated
12/04/2017
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