Provider Demographics
NPI:1689681256
Name:MORRIS COUNTY HOSPITAL
Entity Type:Organization
Organization Name:MORRIS COUNTY HOSPITAL
Other - Org Name:DBA MORRIS COUNTY PUBLIC HEALTH DEPARMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:REAGAN JR
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:620-767-6811
Mailing Address - Street 1:221 HOCKADAY STREET
Mailing Address - Street 2:
Mailing Address - City:COUNCIL GROVE
Mailing Address - State:KS
Mailing Address - Zip Code:66846
Mailing Address - Country:US
Mailing Address - Phone:620-767-5175
Mailing Address - Fax:620-767-6880
Practice Address - Street 1:221 HOCKADAY ST
Practice Address - Street 2:
Practice Address - City:COUNCIL GROVE
Practice Address - State:KS
Practice Address - Zip Code:66846-1830
Practice Address - Country:US
Practice Address - Phone:620-767-5175
Practice Address - Fax:620-767-6880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100020480AMedicaid
KS100275800AMedicaid
KS100020480CMedicaid
KS100275800AMedicaid
KS119966Medicare PIN