Provider Demographics
NPI:1720609738
Name:MEADE HOSPITAL DISTRICT
Entity type:Organization
Organization Name:MEADE HOSPITAL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:BENEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-873-7624
Mailing Address - Street 1:PO BOX 820
Mailing Address - Street 2:
Mailing Address - City:MEADE
Mailing Address - State:KS
Mailing Address - Zip Code:67864-0820
Mailing Address - Country:US
Mailing Address - Phone:620-873-2112
Mailing Address - Fax:620-873-5371
Practice Address - Street 1:304 N AZTEC ST
Practice Address - Street 2:
Practice Address - City:MONTEZUMA
Practice Address - State:KS
Practice Address - Zip Code:67867-8874
Practice Address - Country:US
Practice Address - Phone:620-846-2251
Practice Address - Fax:620-873-5371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-30
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center