FREDONIA REGIONAL HOSPITAL (NPI# 1467565705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467565705 |
| Entity Type | Organization |
| Organization Name | FREDONIA REGIONAL HOSPITAL |
| Practice Address |
1527 Madison St Fredonia KS 66736-1751 |
| Practice Telephone | 6203782121 |
| Practice Fax Number | 6203783169 |
| Mailing Telephone | 6203782121 |
| Mailing Fax Number | 6203783169 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2019-02-14 |
| NPI Deactivation Date | 08/14/2007 |
| NPI Reactivation Date | 2013-10-31 |
| Authorized Official Name | MRS. TRACY L ROW (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 6203786204 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 640 | KS | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | BCBS AMBULANCE | 5698 | 01 |
| KS | 100102550D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285634006 | Fredonia Regional Hospital | Emergency Medicine | 1527 Madison St, Fredonia, KS 66736-1751 | 2005-07-22 |
| 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 |
|---|---|---|---|---|
| 1285634006 | Fredonia Regional Hospital | Emergency Medicine | 1527 Madison St, Fredonia, KS 66736-1751 | 2005-07-22 |
| 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 |
| 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 | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
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|---|---|---|---|---|
| 1053880005 | County of Bourbon | Ambulance | 1604 S National Ave, Fort Scott, KS 66701-2645 | 2018-11-20 |
| 1083125280 | County of Riley | Ambulance | 2011 Claflin Rd, Manhattan, KS 66502-3415 | 2017-10-16 |
| 1497265615 | Juliana M Petro | Ambulance | 7323 E 31st Ct N, Wichita, KS 67226-2212 | 2017-10-02 |
| 1912444118 | City of Stockton | Ambulance | 109 Sw 9th St, Plainville, KS 67663-3501 | 2017-01-25 |
| 1215354923 | City of Edwardsville Kansas | Ambulance | 698 S 4th St, Edwardsville, KS 66111-1390 | 2014-03-20 |
| 1043527575 | Haskell County | Ambulance | 300 S Inman, Haskell County Court House, Sublette, KS 67877-0980 | 2010-09-03 |
| 1548411069 | County of Gray | Ambulance | 101 W. Ave D., Cimarron, KS 67835-0568 | 2008-10-02 |
| 1477681617 | County of Hamilton | Ambulance | 609 N Barton, Syracuse, KS 67878 | 2007-03-01 |
| 1538227327 | Sublette Hospital Dist | Ambulance | 101 N Cody, Sublette, KS 67877 | 2006-12-05 |
| 1265509566 | Buhler Ems | Ambulance | 301 N. Main, Buhler, KS 67522 | 2006-11-29 |
| 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.