1821020405 NPI number — ST. CATHERINE HOSPITAL

Table of content: MISS JENNIFER MARIE LAUNSE MSW (NPI 1568782332)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1821020405 NPI number — ST. CATHERINE HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ST. CATHERINE HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ST. CATHERINE HOSPITAL SUPPORT SERVICES
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1821020405
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
602 N 6TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GARDEN CITY
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
67846-5509
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
620-272-2519
Provider Business Mailing Address Fax Number:
620-272-2664

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
602 N 6TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GARDEN CITY
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
67846-5509
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
620-272-2519
Provider Business Practice Location Address Fax Number:
620-272-2664
Provider Enumeration Date:
07/06/2006

Additional Information

Authorized Official

Authorized Official Last Name:
YOX
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
E
Authorized Official Title or Position:
CHIEF FINANCIAL OFFICER
Authorized Official Telephone Number:
620-272-2555

Provider Taxonomy Codes

  • Taxonomy code: 376J00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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