Provider Demographics
NPI:1114028875
Name:RALPH E BELLAR MD
Entity Type:Organization
Organization Name:RALPH E BELLAR MD
Other - Org Name:HOSPITAL DISTRICT #5 OF HARPER CO. KS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:BELLAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:620-896-7324
Mailing Address - Street 1:700 W. 13TH
Mailing Address - Street 2:
Mailing Address - City:HARPER
Mailing Address - State:KS
Mailing Address - Zip Code:67058-1401
Mailing Address - Country:US
Mailing Address - Phone:620-896-7324
Mailing Address - Fax:620-896-7186
Practice Address - Street 1:700 W. 13TH
Practice Address - Street 2:
Practice Address - City:HARPER
Practice Address - State:KS
Practice Address - Zip Code:67058-1401
Practice Address - Country:US
Practice Address - Phone:620-896-7306
Practice Address - Fax:620-896-2084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2010-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0412758261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100086500EMedicaid
KS016433Medicare PIN
KS110214Medicare PIN
KS100086500EMedicaid