Provider Demographics
NPI:1467468884
Name:COMANCHE COUNTY HOSPITAL
Entity Type:Organization
Organization Name:COMANCHE COUNTY HOSPITAL
Other - Org Name:COMANCHE HEALTH AND HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:L
Authorized Official - Last Name:BECK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:620-582-2144
Mailing Address - Street 1:HC 65 BOX 8A
Mailing Address - Street 2:202 S FRISCO
Mailing Address - City:COLDWATER
Mailing Address - State:KS
Mailing Address - Zip Code:67029-9500
Mailing Address - Country:US
Mailing Address - Phone:620-582-2144
Mailing Address - Fax:620-582-2572
Practice Address - Street 1:HC 65 BOX 8A
Practice Address - Street 2:202 S FRISCO
Practice Address - City:COLDWATER
Practice Address - State:KS
Practice Address - Zip Code:67029-9500
Practice Address - Country:US
Practice Address - Phone:620-582-2144
Practice Address - Fax:620-582-2572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA017002251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health