Provider Demographics
NPI:1225426612
Name:RANSOM MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:RANSOM MEMORIAL HOSPITAL
Other - Org Name:INTERNAL MEDICINE ASSOCIATES OF OTTAWA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MOYER
Authorized Official - Middle Name:W
Authorized Official - Last Name:BUNTING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-229-8244
Mailing Address - Street 1:PO BOX 460
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:KS
Mailing Address - Zip Code:66067-0460
Mailing Address - Country:US
Mailing Address - Phone:785-229-3367
Mailing Address - Fax:785-229-8461
Practice Address - Street 1:1428 S MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:OTTAWA
Practice Address - State:KS
Practice Address - Zip Code:66067-3543
Practice Address - Country:US
Practice Address - Phone:785-248-2902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RANSOM MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-01-07
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health