| Fredonia Regional Hospital | |
| 
					1525 Madison St Ste 2 Fredonia KS 66736-1704  | |
| (620) 378-2068 | |
| (620) 378-2312 | 
| Full Name | Fredonia Regional Hospital | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 1525 Madison St Ste 2, Fredonia, Kansas | 
| Authorized Official Name and Position | Tracy Lynn Row (BUSINESS OFFICE MANAGER) | 
| Authorized Official Contact | 6203786204 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Fredonia Regional Hospital Po Box 579 Fredonia KS 66736-0579 Ph: (620) 378-2121  | Fredonia Regional Hospital 1525 Madison St Ste 2 Fredonia KS 66736-1704 Ph: (620) 378-2068  | 
| NPI Number | 1639957673 | 
|---|---|
| Provider Enumeration Date | 09/20/2023 | 
| Last Update Date | 09/20/2023 | 
| Medicare PECOS PAC ID | 5294783270 | 
|---|---|
| Medicare Enrollment ID | O20231214000434 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1639957673 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary | 
Ambrosio P Mendiola Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 Madison St, Suite 3, Fredonia, KS 66736 Phone: 620-378-3700 Fax: 620-378-3536  | |
Drs. Morris & Hill Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1525 Madison St, Suite 2, Fredonia, KS 66736 Phone: 620-378-2068 Fax: 620-378-2312  | |
Jennifer Bacani Mckenney, Md, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1525 Madison St, Suite 3, Fredonia, KS 66736 Phone: 620-378-3700  |