Provider Demographics
NPI:1003941006
Name:HOSPITAL DISTRICT NO 6 OF HARPER COUNTY
Entity Type:Organization
Organization Name:HOSPITAL DISTRICT NO 6 OF HARPER COUNTY
Other - Org Name:NORWICH HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:BRYANT
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-842-5111
Mailing Address - Street 1:111 S MAIN
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:KS
Mailing Address - Zip Code:67118
Mailing Address - Country:US
Mailing Address - Phone:620-478-2293
Mailing Address - Fax:620-478-2294
Practice Address - Street 1:111 S MAIN
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:KS
Practice Address - Zip Code:67118
Practice Address - Country:US
Practice Address - Phone:620-478-2293
Practice Address - Fax:620-478-2294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH0391261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health