Basic Information
Provider Information
NPI: 1720022890
EntityType: 2
ReplacementNPI:  
OrganizationName: LINDSBORG COMMUNITY HOSPITAL
LastName:  
FirstName:  
MiddleName:  
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Credential:  
OtherOrganizationName:  
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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: 06/16/2006
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: GENGLER
AuthorizedOfficialFirstName: LARAINE
AuthorizedOfficialMiddleName: I
AuthorizedOfficialTitleorPosition: CHIEF FINANCIAL OFFICER
AuthorizedOfficialTelephone: 7852273308
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282NC0060XH059001KSY HospitalsGeneral Acute Care HospitalCritical Access

ID Information
IDTypeStateIssuerDescription
04794301KSBCBSOTHER


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