Organization
SOUTHWEST MEDICAL CENTER
Active
Parent organization
SOUTHWEST MEDICAL CENTER
Other names
Southwest Professional Physicians
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHWEST MEDICAL CENTER
Authorized official
WILLIAM ERMANN (CEO)
(620) 629-6400
Entity
Organization
Contact information
Practice address
305 W 15TH ST, LIBERAL, KS 67901-2455
(620) 624-0702
(620) 624-5078
Mailing address
PO BOX 1215, LIBERAL, KS 67905-1215
(620) 624-0702
(620) 624-5078
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
T00456
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200665790A
—
KS
Enumeration date
04/11/2008
Last updated
02/17/2016
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