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Organization
MEDICINE LODGE MEMORIAL HOSPITAL
Active
Organization
MEDICINE LODGE MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY TAYLOR (ADMINISTRATOR)
(620) 886-3771
Entity
Organization
Contact information
Practice address
710 N. WALNUT ST., DRAWER 'C', MEDICINE LODGE, KS 67104-1019
(620) 930-3744
(620) 930-3784
Mailing address
710 N. WALNUT ST., DRAWERE 'C', MEDICINE LODGE, KS 67104-1019
(620) 930-3744
(620) 930-3784
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
HS004002
KS
261QR1300X
Rural Health Clinic/Center
H004002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092110B
—
KS
Enumeration date
10/11/2006
Last updated
07/02/2024
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