FREDONIA REGIONAL HOSPITAL (NPI# 1285634006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285634006 |
| Entity Type | Organization |
| Organization Name | FREDONIA REGIONAL HOSPITAL |
| Practice Address |
1527 Madison St Fredonia KS 66736-1751 |
| Mailing Address |
1527 Madison Fredonia KS 66736-0579 |
| Practice Telephone | 6203782121 |
| Practice Fax Number | 6203783169 |
| Mailing Telephone | 6203782121 |
| Mailing Fax Number | 6203783169 |
| Enumeration Date | 2005-07-22 |
| Last Update Date | 2019-02-14 |
| Authorized Official Name | TRACY LYNN ROW (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 6203786204 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
H103001 | KS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100102250B | 05 | |
| KS | BCBS AMBULANCE | 5698 | 01 |
| KS | BCBS CRNA | 12209 | 01 |
| KS | BCBS ACUTE IPOP | 305 | 01 |
| KS | 100102550A | 05 | |
| KS | BCBS ER PHY | 14075 | 01 |
| KS | 100102550D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467565705 | Fredonia Regional Hospital | Ambulance | 1527 Madison St, Fredonia, KS 66736-1751 | 2006-08-17 |
| 1376656611 | Fredonia Regional Hospital | Psychiatric Unit | 1527 Madison St, Fredonia, KS 66736-1751 | 2006-08-17 |
| 1548270796 | Fredonia Regional Hospital | Medicare Defined Swing Bed Unit | 1527 Madison St, Fredonia, KS 66736-1751 | 2006-08-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FREDONIA REGIONAL HOSPITAL | 1527 Madison Ave, Fredonia, KS 66736-1751 |
| Street Address |
1527 MADISON ST |
| City | FREDONIA |
| State | KS |
| Zip Code | 66736-1751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891028643 | Toni Lisa Peterson | Registered Nurse | 1527 Madison St, Fredonia, KS 66736-1751 | 2009-09-11 |
| 1710089719 | William J Garey | Radiology | 1527 Madison St, Fredonia, KS 66736-1751 | 2006-09-01 |
| 1467565705 | Fredonia Regional Hospital | Ambulance | 1527 Madison St, Fredonia, KS 66736-1751 | 2006-08-17 |
| 1376656611 | Fredonia Regional Hospital | Psychiatric Unit | 1527 Madison St, Fredonia, KS 66736-1751 | 2006-08-17 |
| 1548270796 | Fredonia Regional Hospital | Medicare Defined Swing Bed Unit | 1527 Madison St, Fredonia, KS 66736-1751 | 2006-08-09 |
| 1376553917 | Fredonia Regional Hospital Hha | Home Health | 1527 Madison St, Fredonia, KS 66736-1751 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891907622 | Grene Vision Group LLC | Ophthalmology | 1508 Madison, Fredonia, KS 66736 | 2007-05-04 |
| 1295828838 | Cherie Farrar Starbuck | Chiropractor | 432 N 7, Fredonia, KS 66736 | 2006-10-02 |
| 1528609666 | Southeast Kansas Nutrition LLC | Dietitian, Registered | 419 N 6th St Ste 16, Fredonia, KS 66736-1300 | 2019-09-30 |
| 1801029152 | Usd 484 Fredonia | Local Education Agency (LEA) | 300 N 6th St, Fredonia, KS 66736-1305 | 2009-09-02 |
| 1831168731 | Paul E. Sommer | Chiropractor | 427 N 6th St, Fredonia, KS 66736-1306 | 2006-03-14 |
| 1609856145 | Ronald Guy Cleverley | Dentist | 428 N 7th St, Fredonia, KS 66736-1315 | 2006-01-19 |
| 1225149586 | Home Town Health Care LLC | Home Health | 314 N 7th St, Fredonia, KS 66736-1337 | 2006-08-31 |
| 1912379389 | Southeast Kansas Diabetes Education | Dietitian, Registered | 314 N 7th St, Fredonia, KS 66736-1337 | 2015-10-26 |
| 1649601683 | Rachael Jean Shinkle | Dietitian, Registered | 314 N 7th St, Fredonia, KS 66736-1337 | 2013-12-02 |
| 1013403633 | Jacob Dugan | Pharmacist | 628 Madison St, Fredonia, KS 66736-1338 | 2018-07-06 |
| Find all providers in zip 66736 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821570342 | Lindsborg Community Hospital Association | General Acute Care Hospital | 501 S Santa Fe Ave Ste 220, Salina, KS 67401-4106 | 2018-08-31 |
| 1144770298 | Lindsborg Community Hospital Association | General Acute Care Hospital | 3715 10th St, Great Bend, KS 67530-3542 | 2016-10-12 |
| 1669895314 | Sabetha Community Hospital | General Acute Care Hospital | 603 S 14th Street, Sabetha, KS 66534 | 2014-01-31 |
| 1760767339 | Great Plains of Ottawa Co, Inc. | General Acute Care Hospital | 215 E 8th St, Minneapolis, KS 67467-1902 | 2011-10-14 |
| 1750687216 | Greenwood County Hospital | General Acute Care Hospital | 105 W 16th St, Eureka, KS 67045 | 2011-02-01 |
| 1275657983 | Great Plains of Sabetha, Inc. | General Acute Care Hospital | 14th and Oregon, Sabetha, KS 66534-0229 | 2007-03-19 |
| 1194859744 | Osborne County Memorial Hospital | General Acute Care Hospital | 424 W New Hampshire St, Osborne, KS 67473-2314 | 2007-03-15 |
| 1689707275 | Sumner County Hospital District No 1 | General Acute Care Hospital | 601 S Osage St, Caldwell, KS 67022-1654 | 2007-03-13 |
| 1417013103 | Lane County Hospital | General Acute Care Hospital | 235 W Vine Street, Dighton, KS 67839-0969 | 2006-12-28 |
| 1740351493 | Sedan City Hospital | General Acute Care Hospital | 300 North Street, Sedan, KS 67361-1051 | 2006-11-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.