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Organization
MEDICINE LODGE MEMORIAL HOSPITAL PHYSICIANS CLINC
Active
Organization
MEDICINE LODGE MEMORIAL HOSPITAL PHYSICIANS CLINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ASHLEY TAYLOR (ADMINISTRATOR)
(620) 886-3771
Entity
Organization
Contact information
Practice address
701 N WALNUT ST, DRAWER 'C', MEDICINE LODGE, KS 67104-1018
(620) 886-3771
(620) 886-5012
Mailing address
701 N. WALNUT STREET, DRAWER 'C', MEDICINE LODGE, KS 67104-1018
(620) 886-3771
(620) 886-5012
Taxonomy
Speciality
Code
Description
License number
State
261QC0050X
Critical Access Hospital Clinic/Center
Primary
HS004002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092110B
—
KS
Enumeration date
08/30/2006
Last updated
07/02/2024
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