Provider Demographics
NPI:1992428130
Name:HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
Entity type:Organization
Organization Name:HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RUTH
Authorized Official - Middle Name:
Authorized Official - Last Name:DULING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-724-5152
Mailing Address - Street 1:1624 S NATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:FORT SCOTT
Mailing Address - State:KS
Mailing Address - Zip Code:66701-2645
Mailing Address - Country:US
Mailing Address - Phone:620-223-7008
Mailing Address - Fax:
Practice Address - Street 1:109 S MAIN ST
Practice Address - Street 2:
Practice Address - City:FORT SCOTT
Practice Address - State:KS
Practice Address - Zip Code:66701-1414
Practice Address - Country:US
Practice Address - Phone:620-223-7008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-22
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty