Provider Demographics
NPI:1083175384
Name:SHERIDAN COUNTY HOSPITAL
Entity Type:Organization
Organization Name:SHERIDAN COUNTY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:POPP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-675-3018
Mailing Address - Street 1:826 18TH ST
Mailing Address - Street 2:
Mailing Address - City:HOXIE
Mailing Address - State:KS
Mailing Address - Zip Code:67740-4371
Mailing Address - Country:US
Mailing Address - Phone:785-675-3018
Mailing Address - Fax:785-675-2306
Practice Address - Street 1:826 18TH ST
Practice Address - Street 2:
Practice Address - City:HOXIE
Practice Address - State:KS
Practice Address - Zip Code:67740-4371
Practice Address - Country:US
Practice Address - Phone:785-675-3018
Practice Address - Fax:785-675-2306
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-03-28
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty