National Provider Identifier Database

FREDONIA REGIONAL HOSPITAL
Critical Access


Contact Information

FREDONIA REGIONAL HOSPITAL
1527 MADISON ST
FREDONIA, KS66736-1751
Phone: 620-378-2121
Fax: 620-378-3169
Website:
Specialty Taxonomy Code
* Critical Access 282NC0060X
Emergency Medicine 207P00000X

* Indicates primary specialty

NPI Profile & details for FREDONIA REGIONAL HOSPITAL

NPI Number 1285634006
Legal business name
LBN
FREDONIA REGIONAL HOSPITAL
Authorized official TRACY ROW - (BUSINESS OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 07/22/2005
Last updated 03/10/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • KS License #: H103001
  • KS Medicaid: 100102250B
  • KS Medicaid: 100102550A
  • KS Medicaid: 100102550D
  • KS Other: 305 BCBS ACUTE IPOP
  • KS Other: 5698 BCBS AMBULANCE
  • KS Other: 12209 BCBS CRNA
  • KS Other: 14075 BCBS ER PHY

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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