Provider Demographics
NPI:1760480784
Name:NEWTON HEALTHCARE CORPORATION
Entity Type:Organization
Organization Name:NEWTON HEALTHCARE CORPORATION
Other - Org Name:NEWTON MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:G
Authorized Official - Last Name:KELLY
Authorized Official - Suffix:
Authorized Official - Credentials:DHA,FACHE
Authorized Official - Phone:316-283-2700
Mailing Address - Street 1:600 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:KS
Mailing Address - Zip Code:67114-8780
Mailing Address - Country:US
Mailing Address - Phone:316-283-2700
Mailing Address - Fax:316-804-6262
Practice Address - Street 1:600 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:KS
Practice Address - Zip Code:67114-8780
Practice Address - Country:US
Practice Address - Phone:316-283-2700
Practice Address - Fax:316-804-6262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSHO40002275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS000467OtherSWINGBED-BLUE CROSS
KS17U103Medicare Oscar/Certification