Provider Demographics
NPI:1477581296
Name:HAMILTON COUNTY HOSPITAL
Entity Type:Organization
Organization Name:HAMILTON COUNTY HOSPITAL
Other - Org Name:HAMILTON COUNTY FAMILY PRACTICE CLINIC
Other - Org Type:Doing Business As
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:PO BOX 1278
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:KS
Mailing Address - Zip Code:67878-1278
Mailing Address - Country:US
Mailing Address - Phone:620-384-7350
Mailing Address - Fax:620-384-7370
Practice Address - Street 1:700 NORTH HUSER
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:KS
Practice Address - Zip Code:67878-1278
Practice Address - Country:US
Practice Address - Phone:620-384-7350
Practice Address - Fax:620-384-7370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS110143OtherBCBS
KS100099390BMedicaid
KS110143OtherBLUE CROSS BLUE SHIELD
KS100099390BMedicaid