Provider Demographics
NPI:1831383256
Name:STEVENS COUNTY HOSPITAL
Entity type:Organization
Organization Name:STEVENS COUNTY HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:FEATHERSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-544-6178
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:1171 S MAIN ST
Mailing Address - City:HUGOTON
Mailing Address - State:KS
Mailing Address - Zip Code:67951-0010
Mailing Address - Country:US
Mailing Address - Phone:620-544-2023
Mailing Address - Fax:620-544-4073
Practice Address - Street 1:1711 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HUGOTON
Practice Address - State:KS
Practice Address - Zip Code:67951-3000
Practice Address - Country:US
Practice Address - Phone:620-544-2023
Practice Address - Fax:620-544-2023
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEVENS COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-29
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100107750AMedicare UPIN