| Minneola District Hospital Nbr 2 | |
|
222 Main St Bloom KS 67865-8511 | |
| (620) 885-4202 | |
| (620) 885-4805 |
| Full Name | Minneola District Hospital Nbr 2 |
|---|---|
| Speciality | Clinic/Center |
| Location | 222 Main St, Bloom, Kansas |
| Authorized Official Name and Position | Deborah Bruner (CEO) |
| Authorized Official Contact | 6208854264 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minneola District Hospital Nbr 2 Po Box 127 Minneola KS 67865-0127 Ph: (620) 885-4202 | Minneola District Hospital Nbr 2 222 Main St Bloom KS 67865-8511 Ph: (620) 885-4202 |
| NPI Number | 1811086093 |
|---|---|
| Provider Enumeration Date | 10/12/2006 |
| Last Update Date | 08/19/2022 |
| Medicare PECOS PAC ID | 1355252545 |
|---|---|
| Medicare Enrollment ID | O20051221000455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811086093 | NPI | - | NPPES |
| 000422 | Other | KS | BLUE CROSS RHC |
| 100010520H | Medicaid | KS | |
| 110485 | Other | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H013002 (Kansas) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | H013002 (Kansas) | Primary |