Provider Demographics
NPI:1235231697
Name:HAMILTON COUNTY HOSPITAL
Entity Type:Organization
Organization Name:HAMILTON COUNTY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:NAHMENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-384-7461
Mailing Address - Street 1:700 N. HUSER
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:KS
Mailing Address - Zip Code:67878-0948
Mailing Address - Country:US
Mailing Address - Phone:620-384-7461
Mailing Address - Fax:620-384-5500
Practice Address - Street 1:700 N. HUSER
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:KS
Practice Address - Zip Code:67878-0948
Practice Address - Country:US
Practice Address - Phone:620-384-7461
Practice Address - Fax:620-384-5500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-05
Last Update Date:2015-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH038001275N00000X, 282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
No275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS001647OtherBCBS OF KANSAS
KS001647OtherBCBS
KS001647OtherBCBS OF KANSAS
KS17Z322Medicare Oscar/Certification