| Fredonia Regional Hospital | |
|
1527 Madison St Fredonia KS 66736-1751 | |
| (620) 378-2121 | |
| (620) 378-3169 |
| Full Name | Fredonia Regional Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 1527 Madison St, Fredonia, Kansas |
| Authorized Official Name and Position | Tracy Lynn Row (BUSINESS OFFICE MANAGER) |
| Authorized Official Contact | 6203786204 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fredonia Regional Hospital 1527 Madison St Fredonia KS 66736-1751 Ph: (620) 378-2121 | Fredonia Regional Hospital 1527 Madison St Fredonia KS 66736-1751 Ph: (620) 378-2121 |
| NPI Number | 1376656611 |
|---|---|
| Provider Enumeration Date | 08/17/2006 |
| Last Update Date | 03/10/2021 |
| Certification Date | 03/10/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376656611 | NPI | - | NPPES |
| 635 | Other | KS | BCBS PSYCHIATRIC IPOP |
| 17M374 | Other | KS | MEDICARE PSYCHIATRIC IPOP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (Kansas) | Primary |