# SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE
- **Other names:** Satanta Long Term Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750334512
- **Legal business name:** SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE
- **Authorized official:** TINA PENDERGRAFT (ADMINISTRATOR)
- **Authorized official phone:** (620) 649-2761

## Contact information

- **Practice address:** 401 CHEYENNE STREET, SATANTA, KS 67870-0159
- **Practice address phone:** (620) 649-2761
- **Practice address fax:** (620) 649-2776
- **Mailing address:** PO BOX 159, SATANTA, KS 67870-0159
- **Mailing address phone:** (620) 649-2761
- **Mailing address fax:** (620) 649-2776

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 1040568501 | KS | Yes |
| 314000000X | Skilled Nursing Facility | 1040568501 | KS | — |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 08/29/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100107120A | — | KS |
| 01 | — | 1040568501 | STATE PROVIDER \# | KS |
| 01 | — | 17E356 | FEDERAL PROVIDER \# | KS |
| 01 | — | H041001 | STATE LICENSE FOR HOSPITA | KS |