Provider Demographics
NPI:1710983606
Name:MEADE HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:MEADE HOSPITAL DISTRICT
Other - Org Name:FOWLER RURAL HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:C
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:
Mailing Address - City:MEADE
Mailing Address - State:KS
Mailing Address - Zip Code:67864-0820
Mailing Address - Country:US
Mailing Address - Phone:620-873-2141
Mailing Address - Fax:
Practice Address - Street 1:423 1/2 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FOWLER
Practice Address - State:KS
Practice Address - Zip Code:67844-9124
Practice Address - Country:US
Practice Address - Phone:620-873-2141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-24
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS178527Medicare Oscar/Certification