# DODGE CITY HEALTHCARE GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Western Plains Medical Complex
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336231232
- **Authorized official:** TERRANCE DILLON (ASSISTANT SECRETARY)
- **Authorized official phone:** (502) 596-7220

## Contact information

- **Practice address:** 3001 AVENUE A, DODGE CITY, KS 67801-2270
- **Practice address phone:** (620) 225-8401
- **Practice address fax:** (620) 225-8403
- **Mailing address:** 330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
- **Mailing address phone:** (615) 920-7000
- **Mailing address fax:** (615) 920-8913

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NR1301X | Rural Acute Care Hospital | H029002 | KS | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 04/26/2022

## 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 |