Provider Demographics
NPI:1932204385
Name:GEARY COUNTY HOSPITAL
Entity Type:Organization
Organization Name:GEARY COUNTY HOSPITAL
Other - Org Name:GEARY COMMUNITY HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:K
Authorized Official - Last Name:BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-762-5140
Mailing Address - Street 1:1110 SAINT MARYS RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:JUNCTION CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66441-4228
Mailing Address - Country:US
Mailing Address - Phone:785-762-5140
Mailing Address - Fax:785-238-1204
Practice Address - Street 1:1102 SAINT MARYS RD
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441-4139
Practice Address - Country:US
Practice Address - Phone:785-238-4131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-13
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100089280AMedicaid
KS000206OtherBLUE CROSS
KS170074Medicare ID - Type Unspecified
KS170074Medicare Oscar/Certification