# HODGEMAN COUNTY MEDICAL SERVICES

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

## Provider details

- **NPI number:** 1831471473
- **Authorized official:** MR. CHRIS A SANDOVAL (PRACTICE MANAGER)
- **Authorized official phone:** (620) 408-9700

## Contact information

- **Practice address:** 810 W BRAMLEY ST, JETMORE, KS 67854-9320
- **Practice address phone:** (620) 357-8354
- **Mailing address:** 2200 SUMMERLON CIR, SUITE A, DODGE CITY, KS 67801-2900
- **Mailing address phone:** (620) 408-9700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 05-18985 | KS | Yes |

## Other

- **Enumeration date:** 09/09/2011
- **Last updated:** 09/09/2011