Provider Demographics
NPI:1326416025
Name:MORTON COUNTY HOSPITAL
Entity Type:Organization
Organization Name:MORTON COUNTY HOSPITAL
Other - Org Name:ROLLA MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:FORREST
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:620-697-5252
Mailing Address - Street 1:445 HILLTOP
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:KS
Mailing Address - Zip Code:67950
Mailing Address - Country:US
Mailing Address - Phone:620-697-5252
Mailing Address - Fax:
Practice Address - Street 1:415 WASHINGTON
Practice Address - Street 2:
Practice Address - City:ROLLA
Practice Address - State:KS
Practice Address - Zip Code:67954
Practice Address - Country:US
Practice Address - Phone:620-697-2175
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-11
Last Update Date:2015-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health