Provider Demographics
NPI:1669665543
Name:MEADE HOSPITAL FRIEND CARE
Entity Type:Organization
Organization Name:MEADE HOSPITAL FRIEND CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-873-2141
Mailing Address - Street 1:PO BOX 820
Mailing Address - Street 2:510 E CARTHAGE
Mailing Address - City:MEADE
Mailing Address - State:KS
Mailing Address - Zip Code:67864
Mailing Address - Country:US
Mailing Address - Phone:620-873-2141
Mailing Address - Fax:620-873-2576
Practice Address - Street 1:801 GRANT ST
Practice Address - Street 2:
Practice Address - City:MEADE
Practice Address - State:KS
Practice Address - Zip Code:67864
Practice Address - Country:US
Practice Address - Phone:620-873-2141
Practice Address - Fax:620-873-2576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2009-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS480899086OtherSTATE CERTIFIED NON MEDIC