Provider Demographics
NPI:1083229488
Name:HASKELL REGIONAL HOSPITAL, INC.
Entity Type:Organization
Organization Name:HASKELL REGIONAL HOSPITAL, INC.
Other - Org Name:ONH MEDICAL GROUP, CHETOPA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRNJOT
Authorized Official - Middle Name:
Authorized Official - Last Name:SINGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-339-7339
Mailing Address - Street 1:10757 RANDOLPH ST
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:IN
Mailing Address - Zip Code:46307-7615
Mailing Address - Country:US
Mailing Address - Phone:888-339-7339
Mailing Address - Fax:
Practice Address - Street 1:429 MAPLE ST
Practice Address - Street 2:
Practice Address - City:CHETOPA
Practice Address - State:KS
Practice Address - Zip Code:67336-9101
Practice Address - Country:US
Practice Address - Phone:620-979-9464
Practice Address - Fax:620-979-9466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-11
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health