Provider Demographics
NPI:1801122353
Name:ATCHISON HOSPITAL
Entity type:Organization
Organization Name:ATCHISON HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ANESTHESIA
Authorized Official - Prefix:
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:S
Authorized Official - Last Name:GORACKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:913-367-2131
Mailing Address - Street 1:1301 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ATCHISON
Mailing Address - State:KS
Mailing Address - Zip Code:66002-1297
Mailing Address - Country:US
Mailing Address - Phone:913-367-2131
Mailing Address - Fax:913-367-6679
Practice Address - Street 1:1301 N 2ND ST
Practice Address - Street 2:
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002-1297
Practice Address - Country:US
Practice Address - Phone:913-367-2131
Practice Address - Fax:913-367-6679
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-19
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural