# METHODIST HOSPITAL ASSOCIATION INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699762559
- **Authorized official:** TAMARA SANDS (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (620) 227-8551

## Contact information

- **Practice address:** 510 W FRONTVIEW ST, DODGE CITY, KS 67801-2213
- **Practice address phone:** (620) 227-8551
- **Practice address fax:** (620) 225-8630
- **Mailing address:** 510 W FRONTVIEW ST, DODGE CITY, KS 67801-2213
- **Mailing address phone:** (620) 227-8551
- **Mailing address fax:** (620) 225-8630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0600X | Adult Day Care Clinic/Center | N029001 | KS | — |
| 314000000X | Skilled Nursing Facility | N029001 | KS | Yes |

## Other

- **Enumeration date:** 10/05/2005
- **Last updated:** 08/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100009660B | — | KS |
| 05 | — | 100108190A | — | KS |
| 01 | — | 1278 | BCBS KS | KS |