JEWELL COUNTY HOSPITAL (NPI# 1336184647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336184647 |
| Entity Type | Organization |
| Organization Name | JEWELL COUNTY HOSPITAL |
| Practice Address |
100 Crestvue Ave Mankato KS 66956-2407 |
| Practice Telephone | 7853783137 |
| Practice Fax Number | 7853783450 |
| Mailing Telephone | 7853783137 |
| Mailing Fax Number | 7853783450 |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2015-06-02 |
| Authorized Official Name | LORI SLATE (ADMIN ASST.) |
| Authorized Official Telephone | 7853783137 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
H045001 | KS | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | FIRSTGUARD | 633590 | 01 |
| KS | 100099530A | 05 | |
| KS | BLUE CROSS BLUE SHIELD KS | 110264 | 01 |
| KS | BLUE CROSS BLUE SHIELD KS | 227 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447418827 | Jewell County Hospital | General Practice | 100 Crestvue Ave, Mankato, KS 66956-2407 | 2008-06-02 |
| 1811925290 | Jewell County Hospital | Medicare Defined Swing Bed Unit | 100 Crestvue Ave, Mankato, KS 66956-2407 | 2006-06-28 |
| 1386689586 | Jewell County Hospital | Clinic/Center | 102 S Center St, Mankato, KS 66956-2202 | 2006-06-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | JEWELL COUNTY HOSPITAL | 100 Crestvue Ave, Mankato, KS 66956-2407 |
| Street Address |
100 CRESTVUE AVE |
| City | MANKATO |
| State | KS |
| Zip Code | 66956-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447418827 | Jewell County Hospital | General Practice | 100 Crestvue Ave, Mankato, KS 66956-2407 | 2008-06-02 |
| 1518148071 | Susan Broeckelman | Dietitian, Registered | 100 Crestvue Ave, Mankato, KS 66956-2407 | 2007-11-26 |
| 1932131026 | Jewell County Hospital Ltc | Nursing Facility/Intermediate Care Facility | 100 Crestvue Ave, Mankato, KS 66956-2407 | 2006-07-07 |
| 1649209552 | Danielle Bohl | Physical Therapist | 100 Crestvue Ave, Mankato, KS 66956-2407 | 2006-07-02 |
| 1811925290 | Jewell County Hospital | Medicare Defined Swing Bed Unit | 100 Crestvue Ave, Mankato, KS 66956-2407 | 2006-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750361754 | John W Bleecker | Dentist | 123 N Commercial, Mankato, KS 66956 | 2006-01-18 |
| 1275519613 | County of Jewell | Ambulance | 510 E North St, Mankato, KS 66956-1850 | 2005-12-19 |
| 1760487656 | County of Jewell | Public Health or Welfare | 307 N Commercial St Ste 2, Mankato, KS 66956-2025 | 2005-06-16 |
| 1508182916 | John R Tyler | Chiropractor | 201 N Commercial St, Mankato, KS 66956-2028 | 2010-04-09 |
| 1609815364 | Leon Hughes | Physician Assistant | 102 S Center St, Mankato, KS 66956-2202 | 2006-06-06 |
| 1134157514 | Marilyn Dunstan | Nurse Practitioner | 102 S Center St, Mankato, KS 66956-2202 | 2006-06-28 |
| 1386689586 | Jewell County Hospital | Clinic/Center | 102 S Center St, Mankato, KS 66956-2202 | 2006-06-19 |
| 1497741748 | Dauner Pharmacies Chtd | Pharmacy | 125 N Commercial St, Mankato, KS 66956-2206 | 2005-09-22 |
| 1285779371 | Lyle R Dauner | Pharmacist | 125 N Commercial St, Mankato, KS 66956-2206 | 2007-02-20 |
| 1306079686 | Usd 107 | Local Education Agency (LEA) | 109 E Main St, Mankato, KS 66956-2214 | 2009-09-02 |
| Find all providers in zip 66956 | ||||
| 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.