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Organization

COMMONSPIRIT KANSAS, INC.

Active
Other names
CommonSpirit Internal Medicine Dodge City, St Catherine Hospital, SCDC INTERNAL MED, Internal Medicine Dodge City
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ANGELA JO SKINNER (ADMINISTRATOR)
(720) 667-7283
Entity
Organization

Contact information

Practice address
2300 N 14TH AVE STE 104, DODGE CITY, KS 67801-2367
(620) 371-7010
(620) 371-7011
Mailing address
PO BOX 803929, KANSAS CITY, MO 64180-3929
(888) 347-3295
(303) 765-6670

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30003913010026
KS
Enumeration date
12/28/2022
Last updated
06/05/2025
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