Provider Demographics
NPI:1396759528
Name:MORRIS COUNTY HOSPITAL
Entity type:Organization
Organization Name:MORRIS COUNTY HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:REAGAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:620-767-6811
Mailing Address - Street 1:600 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:COUNCIL GROVE
Mailing Address - State:KS
Mailing Address - Zip Code:66846-1422
Mailing Address - Country:US
Mailing Address - Phone:620-767-6811
Mailing Address - Fax:620-767-5611
Practice Address - Street 1:600 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:COUNCIL GROVE
Practice Address - State:KS
Practice Address - Zip Code:66846-1422
Practice Address - Country:US
Practice Address - Phone:620-767-6811
Practice Address - Fax:620-767-5611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSH064001275N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes275N00000XHospital UnitsMedicare Defined Swing Bed Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1315OtherBCBS SWINGBED PROVIDER
KS17Z379Medicare Oscar/Certification