Provider Demographics
NPI:1063549327
Name:GEARY COUNTY HOSPITAL
Entity type:Organization
Organization Name:GEARY COUNTY HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
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 308
Mailing Address - City:JUNCTION CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66441-4228
Mailing Address - Country:US
Mailing Address - Phone:785-210-3498
Mailing Address - Fax:
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?:Yes
Parent Organization LBN:GEARY COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-27
Last Update Date:2009-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS020287OtherBCBS GROUP
KS014060OtherBCBS
KSKA1277Medicare PIN
KS014060OtherBCBS