| Kiowa District Hospital-clinic | |
|
1002 S 4th St Kiowa KS 67070-1825 | |
| (620) 825-4131 | |
| (620) 825-4667 |
| Full Name | Kiowa District Hospital-clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 1002 S 4th St, Kiowa, Kansas |
| Authorized Official Name and Position | Janell Lyn Goodno (CFO) |
| Authorized Official Contact | 6208254131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kiowa District Hospital-clinic 810 Drumm St Kiowa KS 67070-1626 Ph: (620) 825-4131 | Kiowa District Hospital-clinic 1002 S 4th St Kiowa KS 67070-1825 Ph: (620) 825-4131 |
| NPI Number | 1093708596 |
|---|---|
| Provider Enumeration Date | 08/30/2005 |
| Last Update Date | 11/02/2023 |
| Medicare PECOS PAC ID | 8325020670 |
|---|---|
| Medicare Enrollment ID | O20041014000588 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093708596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 178506 (Kansas) | Primary |
| Provider Name | Kirk R Bliss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043224603 PECOS PAC ID: 5193713428 Enrollment ID: I20040504001556 |
Kiowa District Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1002 S 4th St, Kiowa, KS 67070 Phone: 620-825-4131 Fax: 620-825-4753 |