HIAWATHA HOSPITAL ASSOCIATION INC (NPI# 1700936440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700936440 |
| Entity Type | Organization |
| Organization Name | HIAWATHA HOSPITAL ASSOCIATION INC |
| Other Organization Name | HIAWATHA COMMUNITY HOSPITAL HIGHLAND CLINIC |
| Practice Address |
415 W Main St Highland KS 66035-4143 |
| Mailing Address |
300 Utah St Fl 2 Hiawatha KS 66434-2314 |
| Practice Telephone | 7854423213 |
| Practice Fax Number | 7854425572 |
| Mailing Telephone | 7857422161 |
| Mailing Fax Number | 7857426554 |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2019-12-19 |
| Authorized Official Name | MR. JOHN R BROBERG (CEO) |
| Authorized Official Telephone | 7857426283 |
| Authorized Official Credential | MA, FACHE |
| Is Organization Subpart | Y |
| Parent Organization Name | HIAWATHA HOSPITAL ASSOCIATION INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100009740A | 05 | |
| KS | BCBS | 110492 | 01 |
| Other Name | Type Code |
|---|---|
| HCH Highland Clinic | Doing Business As Name - Organization |
| Hiawatha Community Hospital Highland Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679630610 | Hiawatha Hospital Association Inc | Family Medicine | 300 Utah St Fl 2, Hiawatha, KS 66434 | 2007-01-02 |
| 1124634993 | Hiawatha Hospital Association Inc | Clinic/Center | 313 Utah St, Hiawatha, KS 66434-2313 | 2020-09-17 |
| 1518572395 | Hiawatha Hospital Association Inc | Nutritionist | 300 Utah St, Hiawatha, KS 66434-2314 | 2020-09-09 |
| 1750424065 | Hiawatha Hospital Association Inc | General Acute Care Hospital | 300 Utah St, Hiawatha, KS 66434-2314 | 2007-02-15 |
| 1619027356 | Hiawatha Hospital Association Inc | Family Medicine | 415 W Main St, Highland, KS 66035-4143 | 2007-01-12 |
| 1174673818 | Hiawatha Hospital Association Inc | Family Medicine | 415 W Main St, Highland, KS 66035-4143 | 2007-01-12 |
| 1922158989 | Hiawatha Hospital Association Inc | Family Medicine | 415 W Main St, Highland, KS 66035-4143 | 2007-01-11 |
| 1023175064 | Hiawatha Hospital Association Inc | Clinic/Center | 300 Utah St Fl 2, Hiawatha, KS 66434-2314 | 2007-01-02 |
| 1932266970 | Hiawatha Hospital Association Inc | Family Medicine | 300 Utah St Fl 2, Hiawatha, KS 66434-2314 | 2007-01-02 |
| 1578620514 | Hiawatha Hospital Association Inc | Family Medicine | 300 Utah St Fl 2, Hiawatha, KS 66434-2314 | 2007-01-02 |
| Street Address |
415 W MAIN ST |
| City | HIGHLAND |
| State | KS |
| Zip Code | 66035-4143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619027356 | Hiawatha Hospital Association Inc | Family Medicine | 415 W Main St, Highland, KS 66035-4143 | 2007-01-12 |
| 1174673818 | Hiawatha Hospital Association Inc | Family Medicine | 415 W Main St, Highland, KS 66035-4143 | 2007-01-12 |
| 1922158989 | Hiawatha Hospital Association Inc | Family Medicine | 415 W Main St, Highland, KS 66035-4143 | 2007-01-11 |
| 1609962620 | Bonnie J. Enneking | Nurse Practitioner | 415 W Main St, Highland, KS 66035-4143 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962890806 | Carmen Crandall | Physical Therapy Assistant | 103 South Ave, Highland, KS 66035 | 2014-12-30 |
| 1053452730 | Rolland Mace | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 806 W, Pennsylvania St., Highland, KS 66035 | 2007-02-08 |
| 1538590492 | Two Timbers LLC | Custodial Care Facility | 101 E Virginia St, Highland, KS 66035-4005 | 2013-12-03 |
| 1750824512 | Recover-care Highland LLC | Skilled Nursing Facility | 402 S Avenue, Highland, KS 66035-4162 | 2016-11-28 |
| 1285622324 | Highland Healthcare and Rehabilitation Center, LLC | Skilled Nursing Facility | 402 S. Avenue St., Highland, KS 66035-4162 | 2005-10-12 |
| 1164632576 | Tia Marie Collins | Specialist/Technologist | 606 W Main St, Highland, KS 66035-4165 | 2007-05-23 |
| 1215260799 | Usd #111 Doniphan West | Local Education Agency (LEA) | 202 W Illinois St, Highland, KS 66035-4229 | 2009-09-15 |
| 1487645230 | Doniphan County Rural Fire Dist No 2 Ambulance | Ambulance | 407 West Avenue, Highland, KS 66035-4256 | 2005-11-01 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1639786171 | St. Joseph's Hospital, Breese, of The Hospital Sisters of The Third Or | Clinic/Center | 12866 Troxler Ave, Highland, IL 62249-2806 | 2020-09-29 |
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| 1720639644 | Labette County Medical Center | Clinic/Center | 613 Maple Street, Chetopa, KS 67336 | 2019-09-23 |
| 1134774821 | Morris County Hospital | Clinic/Center | 106 W Mackenzie St, White City, KS 66872-9797 | 2019-08-08 |
| 1487192845 | Clay County Medical Center | Clinic/Center | 701 Schurle Way, Riley, KS 66531 | 2017-02-06 |
| 1295284842 | Coffeyville Regional Medical Center, Inc. | Clinic/Center | 122 W Myrtle St Lowr Level, Independence, KS 67301-3317 | 2016-09-23 |
| 1154787190 | Labette County Medical Center | Clinic/Center | 510 Peter Pan Rd Ste B, Independence, KS 67301-7300 | 2016-01-06 |
| 1326416025 | Morton County Hospital | Clinic/Center | 415 Washington, Rolla, KS 67954 | 2015-09-11 |
| 1083043012 | Cah Acquisition Company 2 LLC | Clinic/Center | 1708 Corning Ave, Parsons, KS 67357 | 2013-11-12 |
| 1003152430 | Rural Health Resources of Jackson Co Inc | Clinic/Center | 323 2nd St, Wetmore, KS 66550-9618 | 2012-12-12 |
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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.