Provider Demographics
NPI:1134125073
Name:NORTON COUNTY HOSPITAL
Entity Type:Organization
Organization Name:NORTON COUNTY HOSPITAL
Other - Org Name:NORTON MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-877-3351
Mailing Address - Street 1:PO BOX 408
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:KS
Mailing Address - Zip Code:67654-0408
Mailing Address - Country:US
Mailing Address - Phone:785-877-3305
Mailing Address - Fax:785-877-3646
Practice Address - Street 1:807 N. STATE STREET
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:KS
Practice Address - Zip Code:67654
Practice Address - Country:US
Practice Address - Phone:785-877-3305
Practice Address - Fax:785-877-3646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-24
Last Update Date:2018-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH069001261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1572OtherBCBS RURAL HEALTH CLINIC
KS016805OtherBLUE CROSS BLUE SHIELD
KS100009550BMedicaid
KS100099220BMedicaid
KS100099220BMedicaid