Provider Demographics
NPI:1063489789
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 1:1042 S JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:HUGOTON
Mailing Address - State:KS
Mailing Address - Zip Code:67951-2842
Mailing Address - Country:US
Mailing Address - Phone:620-544-4726
Mailing Address - Fax:620-544-7245
Practice Address - Street 1:1042 S JACKSON ST
Practice Address - Street 2:
Practice Address - City:HUGOTON
Practice Address - State:KS
Practice Address - Zip Code:67951-2842
Practice Address - Country:US
Practice Address - Phone:620-544-4726
Practice Address - Fax:620-544-7822
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEVENS COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-01
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100017460AMedicaid
KS48493OtherBCBS
KS0823770001Medicare NSC