JEWELL COUNTY HOSPITAL (NPI# 1447418827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447418827 |
| Entity Type | Organization |
| Organization Name | JEWELL COUNTY HOSPITAL |
| Other Organization Name | JEWELL COUNTY HOSPITAL PROFESSIONAL SERVICES |
| Practice Address |
100 Crestvue Ave Mankato KS 66956-2407 |
| Practice Telephone | 7853783137 |
| Mailing Telephone | 7853783137 |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |
| Authorized Official Name | KRISTA RUTHSTROM (CFO) |
| Authorized Official Telephone | 7853783137 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Jewell County Hospital Professional Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336184647 | Jewell County Hospital | General Acute Care Hospital | 100 Crestvue Ave, Mankato, KS 66956-2407 | 2006-06-19 |
| 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 |
|---|---|---|---|---|
| 1336184647 | Jewell County Hospital | General Acute Care Hospital | 100 Crestvue Ave, Mankato, KS 66956-2407 | 2006-06-19 |
| 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 | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437419 | Lewis H. Roht | General Practice | 12512 High Drive, Leawood, KS 66209-1341 | 2020-04-27 |
| 1437794302 | Sme Kansas P.a. | General Practice | 7300 West 110th Street, Commerce Plaza 1 7th Floor, Overland Park, KS 66210 | 2019-11-14 |
| 1508360405 | Landmark Medical of Kansas Pa | General Practice | 5350 College Blvd Ste 122, Overland Park, KS 66211-1633 | 2018-03-23 |
| 1902342892 | Drsalliance LLC | General Practice | 13968 Santa Fe Trail Dr, Lenexa, KS 66215-3382 | 2017-01-16 |
| 1114470010 | St Catherine Hospital | General Practice | 2051 E Mary St, Garden City, KS 67846-3617 | 2016-07-27 |
| 1053706655 | Aubrey Shea Ralston | General Practice | 700 W Central Ave Ste 205, El Dorado, KS 67042 | 2015-03-31 |
| 1245631100 | James Berry | General Practice | 10821 S Whitetail Ln, Olathe, KS 66061-9395 | 2014-09-10 |
| 1427470087 | Chs Health Services, LLC | General Practice | 2000 Nw Us Highway 24, Topeka, KS 66618-1445 | 2014-01-15 |
| 1942556824 | Leland Ray Kaufman | General Practice | 1500 E. 10th, Bldg B/2, Winfield, KS 67156 | 2012-07-30 |
| 1417211665 | James M Stanford | General Practice | 202 S Frisco St, Coldwater, KS 67029-9101 | 2012-07-02 |
| 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.