Organization
ST. CATHERINE HOSPITAL
Active
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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