Provider Demographics
NPI:1851584460
Name:MEADE HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:MEADE HOSPITAL DISTRICT
Other - Org Name:MEADE RURAL HEALTH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAUCEDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-873-7540
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:620-873-2112
Mailing Address - Fax:620-873-5371
Practice Address - Street 1:119 N HART
Practice Address - Street 2:
Practice Address - City:MEADE
Practice Address - State:KS
Practice Address - Zip Code:67864-0820
Practice Address - Country:US
Practice Address - Phone:620-873-2112
Practice Address - Fax:620-873-5371
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEADE HOSPITAL DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-27
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS207Q00000X
261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1154378164OtherNPI
KS1649287954OtherNPI
KS1497778542OtherNPI
150OtherBCBS PLAN 65
KS1356358675OtherNPI
KS1922014737OtherNPI
KS1194853531OtherNPI
KS1598810780OtherNPI
KS1649428863OtherNPI
KS100066980DMedicaid
KS1215159116OtherNPI
KS1649287954OtherNPI
DD3303Medicare PIN