Provider Demographics
NPI:1396986824
Name:RANSOM MEMORIAL HOSPITAL
Entity type:Organization
Organization Name:RANSOM MEMORIAL HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MOYER
Authorized Official - Middle Name:W
Authorized Official - Last Name:BUNTING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-229-8284
Mailing Address - Street 1:1301 S. MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:OTTAWA
Mailing Address - State:KS
Mailing Address - Zip Code:66067
Mailing Address - Country:US
Mailing Address - Phone:785-229-8200
Mailing Address - Fax:785-229-8930
Practice Address - Street 1:1301 S. MAIN ST.
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:KS
Practice Address - Zip Code:66067
Practice Address - Country:US
Practice Address - Phone:785-229-8200
Practice Address - Fax:785-229-8930
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RANSOM MEMORIAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-03-12
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-45833163W00000X
KS0433396207Q00000X
KS0414422207R00000X
KS0532524207VG0400X
KS0433137208600000X
KS640231H00000X
KS0527608207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty