- Enrollment id
- O20040625000436
- Enrollment state
- KS
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1730117375
- Multiple npi flag
- N
- Ccn
- 177185
- Associate id
- 3476464538
- Organization name
- HOSPITAL DISTRICT NO 1 CRAWFORD COUNTY
- Doing business as name
- HHA OF HOSPITAL DISTRICT 1 OF CRAWFORD COUNTY
- Organization type structure
- GOVERNMENT
- Proprietary nonprofit
- N
- Address line 1
- 302 N HOSPITAL DR
- City
- GIRARD
- State
- KS
- Zip code
- 667432000
- Practice location type
- HHA BRANCH