Provider Demographics
NPI:1194859744
Name:OSBORNE COUNTY MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:OSBORNE COUNTY MEMORIAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-346-2121
Mailing Address - Street 1:424 W NEW HAMPSHIRE ST
Mailing Address - Street 2:PO BOX 70
Mailing Address - City:OSBORNE
Mailing Address - State:KS
Mailing Address - Zip Code:67473-2314
Mailing Address - Country:US
Mailing Address - Phone:785-346-2121
Mailing Address - Fax:785-346-5498
Practice Address - Street 1:424 W NEW HAMPSHIRE ST
Practice Address - Street 2:
Practice Address - City:OSBORNE
Practice Address - State:KS
Practice Address - Zip Code:67473-2314
Practice Address - Country:US
Practice Address - Phone:785-346-2121
Practice Address - Fax:785-346-5498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
12230OtherBLUE SHIELD-CRNA