Provider Demographics
NPI:1225018054
Name:ST. CATHERINE HOSPITAL
Entity type:Organization
Organization Name:ST. CATHERINE HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:YOX
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:620-272-2555
Mailing Address - Street 1:601 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:KS
Mailing Address - Zip Code:67846-5488
Mailing Address - Country:US
Mailing Address - Phone:620-272-2660
Mailing Address - Fax:620-272-2659
Practice Address - Street 1:601 N MAIN ST
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:KS
Practice Address - Zip Code:67846-5488
Practice Address - Country:US
Practice Address - Phone:620-272-2660
Practice Address - Fax:620-272-2659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS0192660001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER