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Organization
SUSAN B. ALLEN MEMORIAL HOSPITAL
Active
Organization
SUSAN B. ALLEN MEMORIAL HOSPITAL
Active
Other names
SBA Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA HALL (CEO)
(316) 322-4558
Entity
Organization
Contact information
Practice address
700 W CENTRAL AVE STE 103, EL DORADO, KS 67042-2187
(316) 321-8751
(316) 321-8752
Mailing address
720 W CENTRAL AVE, EL DORADO, KS 67042-2112
(316) 321-3300
(316) 321-4810
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
NULL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
05/16/2024
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