Organization
ST. CATHERINE HOSPITAL
Active
Other names
St Catherine Physician Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMANDA RUTH VAUGHAN (CFO)
(620) 272-2554
Entity
Organization
Contact information
Practice address
311 E SPRUCE STREET, GARDEN CITY, KS 67846
(620) 272-2222
(620) 272-2216
Mailing address
311 E SPRUCE STREET, GARDEN CITY, KS 67846
(620) 272-2222
(620) 272-2216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KA1610
MEDICARE PTAN
KS
Enumeration date
05/03/2007
Last updated
07/05/2016
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