MINNEOLA DISTRICT HOSPITAL (NPI# 1700975729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700975729 |
| Entity Type | Organization |
| Organization Name | MINNEOLA DISTRICT HOSPITAL |
| Other Organization Name | FOWLER COMMUNITY CLINIC |
| Practice Address |
404 Main Street Fowler KS 67844-0462 |
| Mailing Address |
Po Box 462 Fowler KS 67844-0462 |
| Practice Telephone | 6206465446 |
| Practice Fax Number | 6206465708 |
| Mailing Telephone | 6206465446 |
| Mailing Fax Number | 6206465708 |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2014-03-18 |
| Authorized Official Name | DEBORAH BRUNER (CEO) |
| Authorized Official Telephone | 6208854264 |
| Is Organization Subpart | Y |
| Parent Organization Name | MINNEOLA DISTRICT HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
H013002 | KS | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fowler Community Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023199908 | Minneola District Hospital | Nursing Facility/Intermediate Care Facility | 207 Chestnut Street, Minneola, KS 67865-8511 | 2006-10-18 |
| 1447440318 | Minneola District Hospital | Home Health | 212 Main St, Minneola, KS 67865-0127 | 2007-07-27 |
| 1568545747 | Minneola District Hospital | Medicare Defined Swing Bed Unit | 212 Main St, Minneola, KS 67865-8511 | 2006-10-23 |
| 1376625749 | Minneola District Hospital | Family Medicine | 101 N Ford Ave, Bucklin, KS 67834-3460 | 2006-10-19 |
| 1811086093 | Minneola District Hospital | Family Medicine | 222 Main St, Bloom, KS 67865-8511 | 2006-10-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MINNEOLA DISTRICT HOSPITAL | 212 Main St, Minneola, KS 67865-8511 |
| Street Address |
404 MAIN STREET |
| City | FOWLER |
| State | KS |
| Zip Code | 67844-0462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285969535 | Usd225, Fowler | Clinic/Center | 100 East 8th Avenue, 100 E. 8th Ave., Fowler, KS 67844 | 2009-10-05 |
| 1497778542 | Shawna Dea Miller | Nurse Practitioner | 423 1/2 Main Street, Fowler, KS 67844 | 2006-07-26 |
| 1396851259 | Fowler Hospital District | Nursing Facility/Intermediate Care Facility | 401 E 6th Ave, Fowler, KS 67844-0020 | 2006-08-22 |
| 1659936417 | Restore Home Health Agency LLC | Home Health | 310 W 7th Ave, Fowler, KS 67844-4418 | 2019-05-07 |
| 1710983606 | Meade Hospital District | Clinic/Center | 423 1/2 S Main St, Fowler, KS 67844-9124 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467074401 | Brett Genenbacher | Student in an Organized Health Care Education/Training Program | 1362 N 1403rd Ln, Fowler, IL 62338-2118 | 2020-05-13 |
| 1447899745 | Kelsey Arver Thelen | Nurse Practitioner | 877 Cedar Trl, Fowler, MI 48835-9140 | 2020-01-03 |
| 1053957639 | Katilyn Davis | 9915 W Colony Rd, Fowler, MI 48835-9717 | 2019-11-19 | |
| 1144871591 | Michael Sherman Jr. | Technician | 322 N 10th St, Fowler, CA 93625-2218 | 2019-09-26 |
| 1659936417 | Restore Home Health Agency LLC | Home Health | 310 W 7th Ave, Fowler, KS 67844-4418 | 2019-05-07 |
| 1881178382 | Sheets Family Dentistry, Inc. | Clinic/Center | 98 S 100 E, Suite B, Fowler, IN 47944 | 2018-09-20 |
| 1437683737 | Gordon Ray | Contractor | 34385 Hwy 167, Fowler, CO 81039-0087 | 2017-04-13 |
| 1225569288 | Jasvin Pannu | Case Manager/Care Coordinator | 1202 Ryan Ave, Fowler, CA 93625-9492 | 2017-03-22 |
| 1164962585 | Gabriella Seida | Behavior Technician | 9080 W Maple Rapids Rd, Fowler, MI 48835-9605 | 2017-03-03 |
| 1508272196 | Kyle Sheets | Dentist | 98 South 100 East, Suite B, Fowler, IN 47944-0456 | 2014-07-03 |
| Find all providers in FOWLER | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093732554 | Reedley Community Hospital | Clinic/Center | 300 S Leon S Peters Blvd, Fowler, CA 93625-2439 | 2006-07-17 |
| 1033197801 | Fowler Medical Center Inc | Clinic/Center | 210 E Merced St, Fowler, CA 93625-2313 | 2006-01-03 |
| 1710983606 | Meade Hospital District | Clinic/Center | 423 1/2 S Main St, Fowler, KS 67844-9124 | 2005-06-24 |
| 1982182127 | Harry Chen, M.d., Inc., A Professional Corporation | Clinic/Center | 128 N 6th St, Fowler, CA 93625 | 2018-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083229488 | Haskell Regional Hospital, Inc. | Clinic/Center | 429 Maple St, Chetopa, KS 67336-9101 | 2020-09-11 |
| 1720609738 | Meade Hospital District | Clinic/Center | 304 N Aztec St, Montezuma, KS 67867-8874 | 2020-04-30 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MINNEOLA DISTRICT HOSPITAL.
| 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.