| Sumner County Hospital District No 1 | |
| 
					761 W 175th St S Caldwell KS 67022-8301  | |
| (620) 845-6492 | |
| (620) 845-2518 | 
| Full Name | Sumner County Hospital District No 1 | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 761 W 175th St S, Caldwell, Kansas | 
| Authorized Official Name and Position | Brooke Bollman (CEO) | 
| Authorized Official Contact | 6208456492 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sumner County Hospital District No 1 761 W 175th St S Caldwell KS 67022-8301 Ph: (620) 845-6492  | Sumner County Hospital District No 1 761 W 175th St S Caldwell KS 67022-8301 Ph: (620) 845-6492  | 
| NPI Number | 1881327153 | 
|---|---|
| Provider Enumeration Date | 07/05/2022 | 
| Last Update Date | 01/27/2023 | 
| Medicare PECOS PAC ID | 6103925268 | 
|---|---|
| Medicare Enrollment ID | O20221004003580 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1881327153 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary | 
Integris Bass Baptist Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 415 S Osage St, Caldwell, KS 67022 Phone: 620-845-2516  |