Provider Demographics
NPI:1629308192
Name:ATCHISON HOSPITAL EMERGENCY DEPARTMENT
Entity Type:Organization
Organization Name:ATCHISON HOSPITAL EMERGENCY DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOM
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SEICHEPINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-360-5810
Mailing Address - Street 1:1301 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ATCHISON
Mailing Address - State:KS
Mailing Address - Zip Code:66002-1297
Mailing Address - Country:US
Mailing Address - Phone:913-360-5810
Mailing Address - Fax:913-367-2913
Practice Address - Street 1:1301 N 2ND ST
Practice Address - Street 2:
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002-1297
Practice Address - Country:US
Practice Address - Phone:913-360-5810
Practice Address - Fax:913-367-2913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-06
Last Update Date:2010-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH003001282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS016289Medicare PIN