Organization
COUNTY OF FORD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA ELDER SOWERS (ADMINISTRATOR)
(620) 227-4545
Entity
Organization
Contact information
Practice address
106 E SPRUCE ST, DODGE CITY, KS 67801-4910
(620) 227-4545
(620) 227-4738
Mailing address
106 E SPRUCE ST, DODGE CITY, KS 67801-4910
(620) 227-4545
(620) 227-4738
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100092370A
—
KS
05
—
629510
—
KS
Enumeration date
07/12/2006
Last updated
09/21/2009
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