# SOUTHWEST MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTHWEST MEDICAL CENTER
- **Other names:** Skilled Nursing Facility
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407890692
- **Legal business name:** SOUTHWEST MEDICAL CENTER
- **Authorized official:** MR. WILLIAM ERMANN (CEO/ADMINISTRATOR)
- **Authorized official phone:** (620) 629-6400

## Contact information

- **Practice address:** 315 W 15TH ST, LIBERAL, KS 67901-2455
- **Practice address phone:** (620) 624-1651
- **Practice address fax:** (620) 629-2472
- **Mailing address:** 315 W 15TH STREET, PO BOX 1340, LIBERAL, KS 67905-1340
- **Mailing address phone:** (620) 624-1651
- **Mailing address fax:** (620) 629-2472

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 175163 | KS | Yes |

## Other

- **Enumeration date:** 06/16/2006
- **Last updated:** 12/12/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 118 | BCBS | KS |