Basic Information
Provider Information
NPI: 1023001021
EntityType: 2
ReplacementNPI:  
OrganizationName: LINDSBORG COMMUNITY HOSPITAL ASSOCIATION
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 605 W LINCOLN ST
Address2:  
City: LINDSBORG
State: KS
PostalCode: 674562328
CountryCode: US
TelephoneNumber: 7852273308
FaxNumber: 7852274130
Practice Location
Address1: 605 W LINCOLN ST
Address2:  
City: LINDSBORG
State: KS
PostalCode: 674562328
CountryCode: US
TelephoneNumber: 7852273308
FaxNumber: 7852274130
Other Information
ProviderEnumerationDate: 08/24/2005
LastUpdateDate: 02/23/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: GENGLER
AuthorizedOfficialFirstName: LARAINE
AuthorizedOfficialMiddleName: I
AuthorizedOfficialTitleorPosition: CFO
AuthorizedOfficialTelephone: 7852273308
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282NC0060XH059001KSY HospitalsGeneral Acute Care HospitalCritical Access

No ID Information.


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