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Organization
MEDICINE LODGE MEMORIAL HOSPITAL
Active
Organization
MEDICINE LODGE MEMORIAL HOSPITAL
Active
Other names
Medicine Lodge Memorial Hospital Ambulance Service
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) 886-3771
(620) 886-5012
Mailing address
710 N WALNUT ST, DRAWER 'C', MEDICINE LODGE, KS 67104-1019
(620) 886-3771
(620) 886-5012
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
H004002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092110D
—
KS
Enumeration date
09/07/2006
Last updated
07/02/2024
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