Provider Demographics
NPI:1447418827
Name:JEWELL COUNTY HOSPITAL
Entity type:Organization
Organization Name:JEWELL COUNTY HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUTHSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-378-3137
Mailing Address - Street 1:100 CRESTVUE AVE
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:KS
Mailing Address - Zip Code:66956-2407
Mailing Address - Country:US
Mailing Address - Phone:785-378-3137
Mailing Address - Fax:
Practice Address - Street 1:100 CRESTVUE AVE
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:KS
Practice Address - Zip Code:66956-2407
Practice Address - Country:US
Practice Address - Phone:785-378-3137
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty