Provider Demographics
NPI:1700980026
Name:STANTON COUNTY HOSPITAL
Entity Type:Organization
Organization Name:STANTON COUNTY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAE
Authorized Official - Middle Name:
Authorized Official - Last Name:VEACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-492-6250
Mailing Address - Street 1:404 N. CHESTNUT ST.
Mailing Address - Street 2:404 N. CHESTNUT ST.
Mailing Address - City:JOHNSON
Mailing Address - State:KS
Mailing Address - Zip Code:67855-0779
Mailing Address - Country:US
Mailing Address - Phone:620-492-6250
Mailing Address - Fax:620-492-1447
Practice Address - Street 1:404 N. CHESTNUT ST.
Practice Address - Street 2:
Practice Address - City:JOHNSON
Practice Address - State:KS
Practice Address - Zip Code:67855-0779
Practice Address - Country:US
Practice Address - Phone:620-492-6250
Practice Address - Fax:620-492-1447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-08
Last Update Date:2009-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH094001275N00000X
282NC0060X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
No282NC0060XHospitalsGeneral Acute Care HospitalCritical Access
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS001614OtherBCBS SWINGBED #
KS001614OtherBCBS SWINGBED #