Provider Demographics
NPI:1760488654
Name:MEADE HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:MEADE HOSPITAL DISTRICT
Other - Org Name:BREATHE EZ MEDICAL EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:WES
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHNELLE
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 1:510 E CARTHAGE
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-24
Last Update Date:2016-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSUNKNOWN332B00000X
3336C0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No3336C0004XSuppliersPharmacyCompounding Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0303080001Medicare NSC