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Organization
DODGE CITY HEALTHCARE GROUP LLC
Active
Organization
DODGE CITY HEALTHCARE GROUP LLC
Active
Other names
Western Plains Medical Complex
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE DILLON (ASSISTANT SECRETARY)
(502) 596-7220
Entity
Organization
Contact information
Practice address
3001 AVENUE A, DODGE CITY, KS 67801-2270
(620) 225-8401
(620) 225-8403
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7000
(615) 920-8913
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
H029002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000555
BLUE CROSS
KS
05
—
100098790A
—
KS
05
—
10009879B
—
KS
01
—
110037
BC PROFESSIONAL FEES
KS
01
—
634280
FIRST GUARD
KS
Enumeration date
09/28/2006
Last updated
04/26/2022
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