Organization
SATANTA DISTRICT HOSPITAL AND LONG-TERM CARE
Active
Parent organization
SATANTA DISTRICT HOSPITAL AND LONG TERM CARE
Other names
Satanta District Hospital--DME
Organization subpart
Yes
Provider details
NPI number
Legal business name
SATANTA DISTRICT HOSPITAL AND LONG TERM CARE
Authorized official
TINA PENDERGRAFT (ADMINISTRATOR)
(620) 649-2761
Entity
Organization
Contact information
Practice address
401 CHEYENNE STREET, SATANTA, KS 67870-0159
(620) 649-2761
(620) 649-2776
Mailing address
PO BOX 159, SATANTA, KS 67870-0159
(620) 649-2761
(620) 649-2776
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
H041001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007599
BLUE CROSS PHARMACY DME #
KS
05
—
100080490F
—
KS
01
—
118051
BLUE CROSS DME NUMBER
KS
05
—
6215711601
—
KS
Enumeration date
09/29/2006
Last updated
08/29/2025
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