Provider Demographics
NPI:1295778892
Name:GRISELL MEMORIAL HOSPITAL DISTRICT 1
Entity type:Organization
Organization Name:GRISELL MEMORIAL HOSPITAL DISTRICT 1
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFRIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-731-2231
Mailing Address - Street 1:210 S VERMONT AVE
Mailing Address - Street 2:
Mailing Address - City:RANSOM
Mailing Address - State:KS
Mailing Address - Zip Code:67572-9525
Mailing Address - Country:US
Mailing Address - Phone:785-731-2231
Mailing Address - Fax:785-731-2895
Practice Address - Street 1:210 S VERMONT AVE
Practice Address - Street 2:
Practice Address - City:RANSOM
Practice Address - State:KS
Practice Address - Zip Code:67572-9525
Practice Address - Country:US
Practice Address - Phone:785-731-2231
Practice Address - Fax:785-731-2895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH068002282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS000113OtherBLUE CROSS BLUE SHIELD
KS100091560AMedicaid
KS171300Medicare Oscar/Certification