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Organization
SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE
Active
Organization
SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE
Active
Other names
Satanta District Hospital Clinic-Non Rural Health
Organization subpart
No
Provider details
NPI number
Authorized official
TINA PENDERGRAFT (ADMINISTRATOR)
(620) 649-2761
Entity
Organization
Contact information
Practice address
301 S DERBY, SUBLETTE, KS 67877-0398
(620) 675-2686
(620) 675-2236
Mailing address
PO BOX 159, SATANTA, KS 67870-0159
(620) 675-2686
(620) 675-2236
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
HO41001
KS
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110229
MEDICARE NON RURAL HEALTH
KS
Enumeration date
08/22/2007
Last updated
08/29/2025
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