Provider Demographics
NPI:1821207291
Name:GRAHAM COUNTY HOSPITAL
Entity type:Organization
Organization Name:GRAHAM COUNTY HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:ATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-421-2121
Mailing Address - Street 1:304 W PROUT ST
Mailing Address - Street 2:
Mailing Address - City:HILL CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67642-1435
Mailing Address - Country:US
Mailing Address - Phone:785-421-2121
Mailing Address - Fax:785-421-2034
Practice Address - Street 1:114 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:HILL CITY
Practice Address - State:KS
Practice Address - Zip Code:67642-1722
Practice Address - Country:US
Practice Address - Phone:785-421-2191
Practice Address - Fax:785-421-2195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS178550Medicare PIN