Organization
GOODLAND REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA LYNN SLOUGH (INS/PT ACCOUNTS MANAGER)
(785) 890-6012
Entity
Organization
Contact information
Practice address
220 W 2ND ST, GOODLAND, KS 67735-1602
(785) 890-3625
Mailing address
220 W 2ND ST, GOODLAND, KS 67735-1602
(785) 890-3625
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012200
BLUE CROSS
KS
05
—
100088450B
—
KS
Enumeration date
01/11/2007
Last updated
11/15/2021
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