Organization
HERINGTON MUNICIPAL HOSPITAL
Active
Other names
Herington Municipal Hospital CRNA
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL RYAN (CHIEF EXECUTIVE OFFICER)
(785) 258-2207
Entity
Organization
Contact information
Practice address
100 E HELEN STREET, HERINGTON, KS 67449-1697
(785) 258-2207
(785) 258-3535
Mailing address
100 E HELEN STREET, HERINGTON, KS 67449-1697
(785) 258-2207
(785) 258-3535
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
12282
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014053
PC PTAN
KS
05
—
10098980A
—
KS
01
—
12282
BCBS-CRNA
KS
Enumeration date
12/13/2006
Last updated
12/31/2019
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