Provider Demographics
NPI:1699758086
Name:KIOWA COUNTY HOSPITAL AUTHORITY
Entity type:Organization
Organization Name:KIOWA COUNTY HOSPITAL AUTHORITY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:FINCH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:580-726-3324
Mailing Address - Street 1:429 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:OK
Mailing Address - Zip Code:73651-1615
Mailing Address - Country:US
Mailing Address - Phone:580-726-3324
Mailing Address - Fax:580-726-6041
Practice Address - Street 1:429 W ELM ST
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:OK
Practice Address - Zip Code:73651-1615
Practice Address - Country:US
Practice Address - Phone:580-726-3324
Practice Address - Fax:580-726-6041
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2212282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK000370153001OtherBLUE CROSS
OK=========OtherOTHER INSURANCE
OK=========OtherOTHER INSURANCE
OKE37015306Medicare ID - Type UnspecifiedPROFEE MEDICARE
OK370153Medicare ID - Type UnspecifiedMEDICARE NUMBER