Provider Demographics
NPI:1871916908
Name:STEVENS COUNTY HOSPITAL
Entity type:Organization
Organization Name:STEVENS COUNTY HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:FEATHERSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-544-6178
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:1006 S. JACKSON ST.
Mailing Address - City:HUGOTON
Mailing Address - State:KS
Mailing Address - Zip Code:67951
Mailing Address - Country:US
Mailing Address - Phone:620-544-8511
Mailing Address - Fax:620-428-6916
Practice Address - Street 1:525 POLK STREET
Practice Address - Street 2:
Practice Address - City:HUGOTON
Practice Address - State:KS
Practice Address - Zip Code:67951
Practice Address - Country:US
Practice Address - Phone:620-544-7823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STEVENS COUNTY HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-24
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS10015884Medicaid
KS000124OtherBCBS
KS70061516Medicaid
KS000347101001Medicaid
KS000347101001Medicaid