| Kiowa District Hospital | |
| 
					1002 S 4th St Kiowa KS 67070-1825  | |
| (620) 825-4131 | |
| (620) 825-4667 | 
| Full Name | Kiowa District Hospital | 
|---|---|
| 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 810 Drumm St Kiowa KS 67070-1626 Ph: (620) 825-4131  | Kiowa District Hospital 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 | 
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  |